Endoscopic variceal ligation (EVL) is now common treatment of esophageal varices for the reason of safety and easy handling. But in the case of recurrent varices on hard fibrotic tissue EVL is not easy because endoscopic aspiration is difficult. We devised ligation method using paravariceal saline injection.
Twelve cases of recurrent esophageal varices were treated by this method. All cases were performed disappearance of varices. EVL after saline injection is useful method for the reason for easy aspiration and ligation due to increasing submucosal volume. This method also has merits no use of sclerosant and no special apparatus.
