Akif Dilshad, Irfan Ahmad, Aamir Khan Niazi, Muhammad Zubair, Umer Khalid.
Severe dysphagia after Endoscopic Variceal Band Ligation: A case report.
Proceeding Shaikh Zayed Postgrad Med Inst Jan ;17(2):91-2.

A 60 years old lady, known to have hepatitis C related cirrhosis of liver, presented with UGIB. Upper gastrointestinal endoscopy (EGD) revealed 3 columns of grade III esophageal varices with multiple red signs. EVBL was performed using Multi-band Saeed Six Shooter. Patient was subsequently discharged with follow up EGD and EVBL in 2 weeks time. Follow up EGD showed I column of grade III and 2 columns of grade II varices. Three bands were applied using Multi-band Saeed Six Shooter. Few hours later, the patient developed absolute dysphagia to the extent that she was unable to swallow the liquids and even her saliva. Later she developed regurgitation as well. Next day she was admitted in hospital. Repeat endoscopy showed narrowing in lower third of esophagus scope could not be maneuvered across the narrowing. Patient was kept nil per oral. She was given IN dextrose, proton pump inhibitor, anti-emetics and regular analgesia. Barium swallow showed edema and ligated varix in the lower third of esophagus with hold up of barium in the esophagus even after 45 minutes. Patient remained admitted and conservative management continued for 3 more days. During her stay dysphagia gradually improved, patient started taking oral liquids and semisolid diet.

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