الفهرس 
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Abstract
Portal hypertension due to liver cirrhosis or bilharzial liver in many patients is one of health issues in Egypt. Bleeding in portal hypertension is most frequently caused by gastro-oeophageal varices (65–70%) and by isolated gastric varices (10–15%).
Endoscopic variceal ligation (EVL) is the method of choice for the treatment of esophageal varices. Multiband ligating devices have improved the technical efficiency of the procedure and reduced the potential complications derived from the use of the overtube. There are no specific guidelines for the number of ligations per treatment session.
Our study was conducted on total of 80 patients had EVL at Beni-Suef University Hospital. They were divided in to two groups (1 & 2) according to number of rubber bands placed in each endoscopic session, where patients in group 1 received (more than six) bands per session while patients in group 2 received (six or less) bands per session. Each group included 40 patients.
The aim of this study is to determine the role of the number of bands placed per session upon patient-related and procedural-related outcomes.
The resuts of the study showed that:
• Despite using significantly more bands per session and a more procedure time in patients in group one, the number of sessions to achieve variceal obliteration was not statistically significant between the two groups.