© HepatoBiliary Surgery and Nutrition. All rights reserved. HepatoBiliary Surg Nutr 2016; 5 (2): 193-194 hbsn. amegroups. com used traditionally for some disorder. Take endoscopic treatment of esophageal varices as an example. For variceal bleeding in most cases, endoscopic treatment has been used with ligation of varices. When I was in training, I didn’t think this technique even existed. Nowadays, we take it for granted. But to operably intervene in portal hypertension with esophageal varices causing upper gastrointestinal bleeding, the mortality is horrendous. So to have the endoscopic treatment option for those patients is an incredible advance. For the average patient presenting with esophageal varices or bleeding, I believe the endoscopic treatment was a paradigm leap basically for the entire world.