title: Endoscopic band ligation for bleeding lesions in the small bowel.
abstract: OBJECTIVE
  To investigate the safety and efficacy of endoscopic band ligation (EBL) for bleeding lesions in the small bowel.
  
  
  METHODS
  This is a retrospective study evaluating EBL in six consecutive patients (three males, three females, 46-86 years of age) treated between May 2009 and February 2014: duodenal vascular ectasia; 1, jejunal bleeding diverticulum; 1, ileal Dieulafoy's lesion; 1 and ileal bleeding diverticula; 3. The success of the initial hemostasis was evaluated, and patients were observed for early rebleeding (within 30 d after EBL), and complications such as perforation and abscess formation. Follow-up endoscopies were performed in four patients.
  
  
  RESULTS
  Initial hemostasis was successfully achieved with EBL in all six patients. Eversion was not sufficient in four diverticular lesions. Early rebleeding occurred three days after EBL in one ileal diverticulum, and a repeat endoscopy revealed dislodgement of the O-band and ulcer formation at the banded site. This rebleeding was managed conservatively. Late rebleeding occurred in this case (13 and 21 mo after initial EBL), and re-EBL was performed. Follow-up endoscopies revealed scar formation and the disappearance of vascular lesions at the banded site in the case with a duodenal bleeding lesion, and unresolved ileal diverticula in three cases. Surgery or transarterial embolization was not required without any complications during the median follow-up period of 45 (range, 2-83) mo.
  
  
  CONCLUSIONS
  EBL is a safe and effective endoscopic treatment for hemostasis of bleeding lesions in the small bowel.
authors.affiliation: Takashi Ikeya, Naoki Ishii, Yuto Shimamura, Kaoru Nakano, Mai Ego, Kenji Nakamura, Koichi Takagi, Katsuyuki Fukuda, Yoshiyuki Fujita, Department of Gastroenterology, St. Luke's International Hospital, Tokyo 104-8560, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Ikeya
authors.affiliation: Takashi Ikeya, Naoki Ishii, Yuto Shimamura, Kaoru Nakano, Mai Ego, Kenji Nakamura, Koichi Takagi, Katsuyuki Fukuda, Yoshiyuki Fujita, Department of Gastroenterology, St. Luke's International Hospital, Tokyo 104-8560, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Ishii
authors.affiliation: Takashi Ikeya, Naoki Ishii, Yuto Shimamura, Kaoru Nakano, Mai Ego, Kenji Nakamura, Koichi Takagi, Katsuyuki Fukuda, Yoshiyuki Fujita, Department of Gastroenterology, St. Luke's International Hospital, Tokyo 104-8560, Japan.
authors.forename: Yuto
authors.initials: Y
authors.lastname: Shimamura
authors.affiliation: Takashi Ikeya, Naoki Ishii, Yuto Shimamura, Kaoru Nakano, Mai Ego, Kenji Nakamura, Koichi Takagi, Katsuyuki Fukuda, Yoshiyuki Fujita, Department of Gastroenterology, St. Luke's International Hospital, Tokyo 104-8560, Japan.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Nakano
authors.affiliation: Takashi Ikeya, Naoki Ishii, Yuto Shimamura, Kaoru Nakano, Mai Ego, Kenji Nakamura, Koichi Takagi, Katsuyuki Fukuda, Yoshiyuki Fujita, Department of Gastroenterology, St. Luke's International Hospital, Tokyo 104-8560, Japan.
authors.forename: Mai
authors.initials: M
authors.lastname: Ego
authors.affiliation: Takashi Ikeya, Naoki Ishii, Yuto Shimamura, Kaoru Nakano, Mai Ego, Kenji Nakamura, Koichi Takagi, Katsuyuki Fukuda, Yoshiyuki Fujita, Department of Gastroenterology, St. Luke's International Hospital, Tokyo 104-8560, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakamura
authors.affiliation: Takashi Ikeya, Naoki Ishii, Yuto Shimamura, Kaoru Nakano, Mai Ego, Kenji Nakamura, Koichi Takagi, Katsuyuki Fukuda, Yoshiyuki Fujita, Department of Gastroenterology, St. Luke's International Hospital, Tokyo 104-8560, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Takagi
authors.affiliation: Takashi Ikeya, Naoki Ishii, Yuto Shimamura, Kaoru Nakano, Mai Ego, Kenji Nakamura, Koichi Takagi, Katsuyuki Fukuda, Yoshiyuki Fujita, Department of Gastroenterology, St. Luke's International Hospital, Tokyo 104-8560, Japan.
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Fukuda
authors.affiliation: Takashi Ikeya, Naoki Ishii, Yuto Shimamura, Kaoru Nakano, Mai Ego, Kenji Nakamura, Koichi Takagi, Katsuyuki Fukuda, Yoshiyuki Fujita, Department of Gastroenterology, St. Luke's International Hospital, Tokyo 104-8560, Japan.
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Fujita
keywords: Diverticular hemorrhage; Endoscopic band ligation; Hemostasis; Ileal bleeding; Jejunal bleeding; Small bowel; Therapeutic endoscopy