At Abhiman Gastro Superspeciality Hospital, Miraj, we offer Endoscopic Variceal Ligation (EVL) – a highly effective, minimally invasive treatment for enlarged veins in the esophagus (called varices). Led by Dr. Abhiman Pawar, a trusted Gastroenterologist, Hepatologist, and Interventional Endoscopist, this advanced procedure helps prevent serious bleeding and promotes faster, safer recovery for patients across Miraj, Sangli, and nearby areas.
Endoscopic Variceal Ligation, also known as band ligation, is a specialized endoscopic procedure used to treat esophageal varices—abnormally enlarged veins in the food pipe that can rupture and cause internal bleeding, especially in patients with liver disease.
During the procedure, small elastic bands are placed around these veins to block blood flow. Over the next few days, the treated veins shrink and fall away naturally, allowing the esophagus to heal.
Your doctor may recommend EVL if you have:
Liver cirrhosis leading to portal hypertension
Bleeding or high-risk esophageal varices
A history of upper gastrointestinal bleeding due to varices
Need for preventive (prophylactic) treatment to avoid future bleeding
This minimally invasive method has become the preferred approach for managing varices due to its safety, effectiveness, and low complication rate.
Before the procedure: You’ll be advised not to eat or drink for about 6–8 hours. Some medications, such as blood thinners or aspirin, may need to be paused temporarily.
During the procedure:
You’ll receive a sedative through an IV to keep you relaxed.
Your throat will be numbed with a mild anesthetic spray.
A thin, flexible tube with a camera (endoscope) is passed gently through your mouth.
Using video guidance, the doctor locates the enlarged veins and places small elastic bands around them to stop blood flow.
The entire procedure usually takes 20–30 minutes and is done on an outpatient basis.
You may experience a mild sore throat or chest discomfort for a day or two. Avoid strenuous activity and solid food immediately after the procedure. It’s best to have a family member or friend accompany you home, as sedation may make you drowsy.
Most patients resume normal activities within 24 hours and feel significantly better within a few days.
Though rare, some possible risks include:
Mild bleeding or recurrence of varices
Temporary ulcers or narrowing of the esophagus
Infection or minor discomfort
With Dr. Abhiman Pawar’s expertise and advanced Olympus endoscopy equipment, Abhiman Gastro Superspeciality Hospital ensures safe, accurate, and comfortable EVL procedures with minimal risks and quick recovery.
If you or a loved one has liver-related issues or a history of variceal bleeding, visit Abhiman Gastro Superspeciality Hospital in Miraj for expert consultation and advanced treatment.
