HARVEY J. DWORKEN, M.D.
To the editor: The recently published recommendation on endoscopic sclerotherapy of esophageal varices (1) presents a complete and accurate picture of the current status of this important procedure. There is, however, one omission I would like to correct, and that is the necessity for continued expert attention to patients after sclerotherapy. At times, bleeding may be aggravated by sclerotherapy, and at other times it may recur several hours afterwards. An experienced endoscopist must be available to provide further treatment. This warning is particularly relevant to hospitals where endoscopists with adequate training in sclerotherapy may not be easily available at all
DWORKEN HJ. Sclerotherapy of Esophageal Varices. Ann Intern Med. ;100:915. doi: 10.7326/0003-4819-100-6-915_2
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Published: Ann Intern Med. 1984;100(6):915.
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