title: Endoscopic band ligation for non-variceal non-ulcer gastrointestinal hemorrhage.
abstract: BACKGROUND
  There is no consensus as to the best treatment for non-variceal, non-ulcer gastrointestinal hemorrhage. Endoscopic band ligation is an inexpensive, readily available, and easily learned technique in contrast to conventional thermal methods of endoscopic hemostasis. We present the preliminary results of an open trial using endoscopic band ligation for non-variceal, non-ulcer bleeding in the gastrointestinal tract.
  
  
  METHODS
  Eighteen patients were treated by band ligation between June 1996 and November 1997. The lesions treated were: arteriovenous malformations in 10, Dieulafoy's lesions in 4, Mallory-Weiss tear in 2, and post-colonic polypectomy bleeding in 2.
  
  
  RESULTS
  Endoscopic band ligation was successful in 17 of 18 cases, with a follow-up period ranging from 2 to 18 months. The remaining case, a duodenal Dieulafoy's lesion, bled again at 24 hours but was successfully treated by adrenalin injection.
  
  
  CONCLUSIONS
  Endoscopic band ligation is effective for non-variceal, non-ulcer bleeding. It has the advantage of ease of use and is relatively inexpensive.
authors.affiliation: Department of Gastroenterology and Hepatology, Westmead Hospital, NSW, Australia.
authors.forename: D
authors.initials: D
authors.lastname: Abi-Hanna
authors.forename: S J
authors.initials: SJ
authors.lastname: Williams
authors.forename: P E
authors.initials: PE
authors.lastname: Gillespie
authors.forename: M J
authors.initials: MJ
authors.lastname: Bourke
mesh_terms: D000368:Aged; D004724:Endoscopy / Q000379:methods; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000379:methods; D008297:Male; D008875:Middle Aged