Endoscopic Band Ligation Care

• Your doctor will likely do the following:
  • Physical exam
  • Blood tests
• Do not eat for 8 to 12 hours before the procedure.
• If you have diabetes , discuss your medicines with your doctor.
• Arrange for transportation after the procedure. You should not drive for 24 hours after the procedure.
• Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
  • Aspirin or other anti-inflammatory drugs
  • Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)

• Local-You may be given an anesthetic solution to gargle, or your throat may be sprayed with a numbing anesthetic.
• You may also be given a sedative to help you relax.
• Conscious sedation-You may be given medicines through an IV. It will help you relax. Other medicines will be given to treat any pain you feel during the procedure.

For this procedure, you will lie on your left side. A mouthpiece will be placed to help keep your mouth open. An assistant will be in the room to monitor your breathing and heart beat. You may also be given oxygen through your nose. A suction tube will be used to clear the saliva and other fluids from your mouth.

A lubricated endoscope will be placed into your mouth. It will be passed down your throat and into your esophagus. The scope will have a small light and a camera. The doctor will watch the images on a video monitor. Air will be passed through the scope to help your doctor see your esophagus. The doctor will be able to locate the enlarged vein.

Instruments will be passed through the scope. The enlarged tissue will be sucked into the device's chamber. One or more bands will be placed around the tissue to clamp off the blood supply.

Typically, less than one hour

You will usually feel some pressure and discomfort, but not pain, during the procedure. After the procedure, your throat may feel irritated and sore.

You will be taken to a recovery area until the effects of your medicines have worn off. In most cases, you will be observed for about an hour. If you feel well, you can then go home.

After returning home, you should do the following:

• Follow your doctor's instructions regarding your diet.
• Avoid driving or using heavy machinery for at least a day after your procedure. Sedatives may slow your reaction time.
• Avoid drinking alcohol for at least a day after your procedure.
• Get plenty of rest.

In the days or weeks after your procedure, the tissue that was banded will slough off.