Citations 2
Endoscopic Management of Variceal Band Ligation Leading to Acute Esophageal Obstruction
Quinteros, Mischelle Lopez, Zayat, Marisa S., Lukens, Frank J., Wagh, Mihir S., Hashash, Jana, Woodward, Timothy A., Lopez Quinteros, Mischelle, Petrov, Jessica C , Zayat, Marisa-Nicole , Lukens, F, Osagiede, Osayande
ACG Case Reports Journal | April 28, 2026 | Volume: 13 | Issue: 5 | Pages: No page available
ABSTRACT Complete esophageal obstruction is a rare but serious complication of endoscopic variceal band ligation (EVBL). We present the case of a 75-year-old man with cirrhosis and esophageal varices who developed acute esophageal obstruction following EVBL, which was successfully managed with a combination of endoscopic scissors to cut the band and through-the-scope balloon dilation, restoring luminal patency and recanalization of the esophagus. This case highlights the importance of prevention, early recognition, and timely management of this rare but important complication of EVBL. Key management options addressed include preventive, conservative, and interventional strategies to improve patient outcomes.
Communicating risks associated with IBD therapies to patients
Zayat, Marisa-Nicole , Crosby, Sheena , Kinnucan, Jami
Frontline Gastroenterology | August 22, 2025 | Volume: No volume available | Issue: No issue available | Pages: flgastro-2024-102998
Inflammatory bowel disease (IBD) is associated with significant impacts on patients’ health and quality of life. Chronic inflammation is linked to an increased risk of malignancies, venous thromboembolisms and infections. Chronic diseases are also associated with an increased risk for psychiatric comorbidities, such as anxiety and depression. Consequently, IBD can greatly impact health-related quality of life. While endoscopic healing is a target of therapeutic efficacy in the management of IBD, patients prioritise achieving clinical remission, with symptom control being a primary motivator for IBD management. With the ever-evolving therapeutic landscape in IBD, the need for effective communication and shared decision-making (SDM) is crucial when relaying risks and benefits of treatment options: no treatment, complementary and alternative medicine, surgical resection and medical management. Various visual decision aids, patient-specific activities and predictive tools enhance patients’ understanding of the risks and benefits associated with certain treatments and enable patients to make informed decisions aligned with their personal values. Through SDM, the patient–provider relationship is strengthened, patient satisfaction is enhanced, patient quality of life is improved and better outcomes are achieved.