Medical Surgical Nursing

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4. Esophageal Banding Therapy (Variceal Band Ligation)

 A rubber band–like ligature is slipped over an esophageal varix via an

endoscope. (B) Necrosis results and the varix eventually sloughs off.

5. TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNTING

 Transjugular intrahepatic portosystemic shunting (TIPS) is a method of treating

esophageal varices in which a cannula is threaded into the portal vein by the

transjugular route. An expandable stent is inserted and serves as an intrahepatic