1993 Volume 35 Issue 6 Pages 1386-1389_1
We tried endoscopic variceal ligation (EVL) of gastric varices by means of three-forked forceps and end-loop ligature. EVL was performed for gastric varices in a 43-year-old man after sclerotherapy of esophageal varices. Gastric varices were pulled to end-loop ligature by three forked forceps and were ligated. After the end-loop was closed and varices were ligated, the ligature was cut off with scissors forceps. As a result, gastric varices changed to be reddish-blackish just after EVL. It is concluded that this new method is useful for the treatment of gastric varices without bleeding and pain using a small amount of sclerosant.