Endoscopic therapy is a way of preventing and treating variceal bleeding without the requirement for surgery. In the most common procedure called endoscopic variceal banding (or ligation), rubber bands are placed around varices in the esophagus through a flexible endoscope which is used to visualize the vessels.
Adjustable gastric banding (also known as “Lap Band” or “Realize band”) is examined by many to be the least invasive surgery for weight loss. The method includes placing an implant, a soft silicone ring with an expandable balloon in the center, around the uppermost part of the stomach. It efficiently creates a two-compartment stomach, with a much smaller top part above the band. A person eats sufficient food only to fill the top part of the stomach. Over time, after the meal, the food passes through the opening of the band into the remainder of the stomach, and digestion occurs normally.
The band is connected to an injection port following the skin through a soft tubing, which allows adjustment of the band’s tightness by inflating or deflating the balloon in the band. Improvements to the band are easily performed in the office and require no special preparation. Adding saline to the band makes the orifice between the two parts of the stomach smaller, making the passage of food from the top of the stomach to the rest of the stomach slower. Removing saline from the band allows more rapid passage of larger particles of food to pass.
You may need pain medicine during this time. You may have a small amount of bleeding from your anus about 7 to 10 days after surgery, when your hemorrhoidfalls off. This is normal. Some people are able to return to regular activities right away.
If the bands are extremely painful, a medicine may be injected into the banded hemorrhoids to numb them. After the procedure, you may feel pain and have a sensation of fullness in the lower abdomen. Or you may feel as if you need to have a bowel movement.
For four hours after your procedure, you should only consume clear liquids. Afterfour hours, you may eat soft foods for the remainder of the day. Some people may experience mild to moderate chest pain after variceal banding. If you experience severe chest pain, call your doctor.
You may feel some discomfort for a few days after hemorrhoid banding, including:
- Abdominal pain.
- Abdominal swelling.