Publication Name	World Journal of Gastroenterology
Manuscript ID	116260
Country	Sudan

Category	Surgery
Manuscript Type	Meta-Analysis
Article Title	Comparative safety and efficacy of endoscopic band ligation and variceal obturation for gastric varices: Systematic review and meta-analysis
Manuscript Source	Unsolicited Manuscript
All Author List	Usama Tufail, Eman Khalid, Aleena Ihtasham, Fahad Amin, Muhammad Talha Khan, Fazia Khattak, Taha Alam, Amna Iman, Eeman Afroz, Hina Aslam, Ahtisam Akbar Khan, Tooba Fida and Iman Osman Abufatima
Funding Agency and Grant Number
Corresponding Author	Iman Osman Abufatima, Department of Medicine, University of Medical Sciences and Technology, El Riyad area, Square No. 13, Khartoum 11111, Sudan. drimanadam03@gmail.com
Key Words	Gastric varices; Portal hypertension; Endoscopic band ligation; Endoscopic variceal obturation; Upper gastrointestinal bleeding; Hemostasis; Rebleeding
Core Tip	This meta-analysis of seven randomized controlled trials establishes that while endoscopic variceal ligation (EVL) and endoscopic variceal obturation (EVO) achieve similar initial hemostasis rates for gastric varices, EVO demonstrates superior long-term durability. Specifically, cyanoacrylate injection significantly reduces the risk of rebleeding compared to EVL without increasing overall mortality. These findings support prioritizing cyanoacrylate as the first-line intervention for gastric variceal hemorrhage, reserving EVL as an alternative only when resources for obturation are unavailable.
Citation	Tufail U, Khalid E, Ihtasham A, Amin F, Khan MT, Khattak F, Alam T, Iman A, Afroz E, Aslam H, Khan AA, Fida T, Abufatima IO. Comparative safety and efficacy of endoscopic band ligation and variceal obturation for gastric varices: Systematic review and meta-analysis. World J Gastroenterol 2026; In press

Received	2025-11-07 09:14
Peer-Review Started	2025-11-07 09:14
First Decision by Editorial Office Director	2025-12-16 09:53
Return for Revision	2025-12-16 09:53
Revised	2025-12-29 17:49
Publication Fee Transferred
Second Decision by Editor	2026-02-25 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-02-25 07:16
Articles in Press	2026-02-25 07:16
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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