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Medical Science Monitor Basic Research


A Rare Case of Complete Esophageal Obstruction Following Esophageal Variceal Band Ligation (EVBL) for Esophageal Varices Performed by Esophagogastroduodenoscopy (EGD)

Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease

Muhammad Aziz, Beth Floyd, Tuba Esfandyari

USA Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA

Am J Case Rep 2018; 19:545-548

DOI: 10.12659/AJCR.908232

Available online:

Published: 2018-05-09


BACKGROUND: Esophageal variceal band ligation (EVBL) performed by esophagogastroduodenoscopy (EGD) is a routinely performed procedure for the treatment of esophageal varices that is undertaken to control bleeding and prevent further complications. This report is of a case of a rare complication of complete esophageal obstruction following EVBL.
CASE REPORT: A 69-year-old woman underwent EVBL for esophageal varices. She subsequently presented with complete obstruction of the esophageal lumen with ulceration, which was seen on repeat EGD. Following conservative management, EGD demonstrated scarring around the ulcerated region and a patent esophagus.
CONCLUSIONS: This case report serves to remind physicians of the potential complications that may arise with the use of EVBL treatment for bleeding esophageal varices and to consider the use of a loop cutter, to grasp and remove the esophageal band to improve patient recovery.

Keywords: Endoscopy, Digestive System, Esophageal and Gastric Varices, Esophagus