HEALTH AND PUBLIC POLICY COMMITTEE,*
Endoscopic sclerotherapy is a procedure to treat bleeding esophageal varices and prevent future variceal bleeding. The procedure involves the passage of an esophagoscope and injection of a sclerosing agent into or around esophageal varices. The mechanisms by which injection sclerotherapy controls variceal hemorrhage are not understood completely but are thought to involve damage to the intima, intraluminal thrombosis, and intravascular fibrous organization (1-7).
Important questions on the appropriate use of endoscopic sclerotherapy are unresolved. There is disagreement on the indications for treatment; type of esophagoscope and anesthetic to use; type and volume of sclerosing agent to use; adjunctive supportive measures;
. Endoscopic Sclerotherapy for Esophageal Varices. Ann Intern Med. 1984;100:608–610. doi: 10.7326/0003-4819-100-4-608
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Published: Ann Intern Med. 1984;100(4):608-610.
Esophageal Disorders, Gastroenterology/Hepatology, Liver Disease.
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