Possible Complications - G-flex MultibandLigator Mode D'emploi

If all bands have been used, you can remove the Multiband Ligator from the
biopsy channel and continue using the scope and its biopsy channel while still
inside the patient.
Reloading the Multiband Ligator (Reloadable version ONLY)
1. Once the complete system is out of the patient and removed as described
above, you may start the reloading process.
2. Loosen completely the tracking wire by turning backwards the big wheel
3. Remove the blue luer-lock cap
4. Press the locking clip towards the center of the handle.
5. Remove the used L-shape reloading unit
6. Remove the blue luer-lock cap from the new reloading units
7. Insert the new L-shape reloading unit through the hole of
the handle (see picture aside). You should hear a "click"
once it is correctly in place.
8. Put back the blue luer-lock cap
9. Attach the tracking wire loop through the shaft hook as
indicated aside
10. While holding with your thumb the tracking wire inside the
hook, turn the small wheel forward until the tracking wire is
slightly tensioned
11. The reloaded unit is now ready for use and you may follow the
instructions from "Mounting the Multiband Ligator"
Contraindication
The contraindications include without being limited to cricopharyngeal or
oesophageal narrowing/stricture, tortuous oesophageal diverticula, known or
suspected oesophageal perforation, asymptomatic rings or webs, coagulopathy.
Use of ligation bands is contraindicated in patients with a known hypersensitivity to
latex.

Possible Complications

Possible complications associated with the gastrointestinal endoscopy include and
not limited to perforations, fever, aspirations, haemorrhage, infections, hypo-tension,
allergic reactions to medication, cardiac arrhythmia or arrest, respiratory depression
or arrest. Furthermore, complications that may occur with oesophageal banding
include and not limited to chest tightness, retrosternal pain, dysphagia or
odynophagia, and post-EVL ulcer with or without bleeding, increase of portal
hypertensive gastropathy, bacteremia, nausea, laryngeal, retrosternal pain,
laceration, stricture formation, oesophageal perforation, obstructions.
Precautions
It is vital the biopsy channel size of the endoscope is co-ordinated with compatible
devices in order to obtain the best results during the procedure. The minimum
biopsy channel diameter required is 2.8 mm and length of up to 150 cm. The outer
diameter of the scope to be used must be from 8,5 mm up to 11,5 mm.
ligation may not be effective when applied to small varices.
9
Band