Comparative Evaluation of Endoscopic Band Ligation versus Sclerotherapy in the Management of Esophageal Varices

Dr. T. M. Chaitanya, Dr. K. Suhas, Dr. S. Lavanya

Abstract: Objective: To compare the efficacy and safety of endoscopic band ligation and endoscopic sclerotherapy in controlling bleeding due to esophageal varices in patients with portal hypertension. Methods: This prospective randomized study was conducted on 50 patients with Grade III and IV esophageal varices. Patients were allocated into two groups: Group I underwent endoscopic band ligation and Group II received sclerotherapy using 3% sodium tetradecyl sulphate. Clinical outcomes including control of bleeding, number of sessions required for variceal obliteration, complications, and recurrence were evaluated. Results: Patients treated with band ligation experienced fewer complications such as retrosternal pain, fever, odynophagia, and esophageal ulceration compared to the sclerotherapy group. Failure rate was significantly lower in the band ligation group (0%) than in the sclerotherapy group (24%). Conclusion: Endoscopic band ligation is a more effective and safer option compared to sclerotherapy for the treatment of esophageal varices. It is associated with fewer complications and a lower failure rate.

Keywords: Esophageal varices, Endoscopic band ligation, Sclerotherapy, Portal hypertension, Variceal bleeding

How to Cite?: Dr. T. M. Chaitanya, Dr. K. Suhas, Dr. S. Lavanya, "Comparative Evaluation of Endoscopic Band Ligation versus Sclerotherapy in the Management of Esophageal Varices", Volume 14 Issue 7, July 2025, International Journal of Science and Research (IJSR), Pages: 1613-1614, https://www.ijsr.net/getabstract.php?paperid=MR25726185725, DOI: https://dx.doi.org/10.21275/MR25726185725