Endoscopic band ligation (EBL) is one of the majorendoscopic treatments for colonic diverticular bleeding,along with clipping and coagulation methods 1 ; however,EBL is not indicated for all cases of colonic diverticularbleeding. In particular, it remains unclear whether EBLcan be applied to cases involving bleeding from a large-orifice diverticulum. Although the EBL procedurecommonly includes suction of the entire diverticuluminto the suction cup to ligate the neck of the inverteddiverticulum, partial ligation inside the diverticulum hasnot yet been reported as a treatment option. Counterturnof the diverticulum by suction does not accompany serosalinvolvement that leads to perforation, which was proved byex-vivo examination of specimens after EBL. 2 Here, wereport the use of partial EBL for the treatment of large-orifice colonic diverticular bleeding (Video 1, availableonline at www.VideoGIE.org).
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