What Is Endoscopic Variceal Ligation (EVL)?

Endoscopic Variceal Ligation (EVL), also known as rubber band ligation, is a procedure used to treat esophageal varices (enlarged veins in the esophagus). During the procedure, an endoscope is used to place a small rubber band around the enlarged vein or varix. This cuts off the blood flow to the vein, causing it to shrink and eventually fall off. EVL is a minimally invasive treatment to control and prevent bleeding from varices.


How Does EVL Work?

What Happens to Varices After Banding?

Once the rubber band is placed around the varix, it cuts off the blood supply to the vein. This results in a small ulcer forming around the banded tissue, which will typically heal within a few days or weeks. Variceal banding can be repeated multiple times to manage enlarged varices, preventing further bleeding episodes.


What Is the Prognosis for Esophageal Varices?

Risk of Bleeding:

Esophageal varices can lead to life-threatening bleeding, with a mortality rate of up to 50% if left untreated. Patients who have experienced an episode of bleeding varices are at higher risk of future bleeding episodes.

Effectiveness of Treatment:

Variceal ligation is highly effective in controlling first-time bleeding episodes, with success rates of about 90% in preventing further bleeding. This makes EVL an essential procedure for managing esophageal varices and preventing life-threatening complications.


Dr. Rupesh Lunkad offer expert care and advanced procedures for managing esophageal varices. With state-of-the-art equipment and a patient-focused approach, RL Gastrocare is dedicated to providing effective treatment for gastrointestinal conditions, ensuring your health and safety.

For more information or to schedule a consultation, contact RL Gastrocare Clinic in Swargate, Pune.

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Disclaimer: The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The information is provided solely for educational purpose and should not be considered a substitute for medical advice.