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#BD_ENDOSCOPY Procedure done by.......... Prof. Brig. Gen. Sk Md. Bahar Hussain (Retd.) MBBS FCPS(Medicine), FRCP (Edin, Glasg), FACP (USA). SR Consultant & Interventional Gastroenterologist Department Of Gastroenterology For more videos please visit my youtube channel BD ENDOSCOPY / @bdendoscopy3663 FINDINGS: OESOPHAGUS: Multiple columns of grade IV oesophageal varices (extending up to 25 cm) are seen at the lower half of the oesophagus. First session of band ligation done by 7 applications Boston Scientific band ligator. Gastro-oesophageal junction is located at 40cm from incisor teeth. No evidence of hiatus hernia is present. Extend up to 25cm. STOMACH: Fundus, body & antrum examined. No food residue, foreign body or blood is seen. Features of congestive gastropathy is noted at the body and fundus of the stomach. Moreover, multiple polyps are seen at the fundus. DUODENUM: First (D1) & second (D2) part examined. No blood in the lumen. There is no suggestion of ulcer, erosion, diverticulum or duodenal scarring. No nodularity, tumor or polyp is seen. Mucosal folds in D2 are normal at endoscopy. BIOPSY: Not taken. COMMENTS: Grade-IV Oesophageal Varices, Congestive Gastropathy with Fundic Polyps. THERAPEUTIC INTERVENTION: First session of Endoscopic Variceal Ligation (EVL) done. ADVICE: Review Endoscopy and possible EVL/ Sclerotherapy after 2 months.