Disposable Endoscope Ligature

Disposable endoscope ligature is the preferred endoscopic technique for the endoscopic treatment of acute esophageal variceal bleeding. Disposable endoscope ligature has also been used to treat nonvariceal bleeding. Recently, Han et al demonstrated that EBL can be a feasible and safe alternate technique for the management of iatrogenic gastric perforation especially in cases in which closure with endoclips is difficult. EBL is technically simpler to perform than other methods and provides a good view of the lesions under direct pressure and suction from the transparent ligation cap. EBL can be used even if the diameter of the perforation is greater than 10 mm or if there is a severe tangential angle.Because of the smaller size of the perforations caused by therapeutic endoscopy, endoscopic closure of perforations caused by EMR or ESD is simpler than endoscopic closure of perforations caused by blunt instruments.