NESHAN TABIBIAN, M.D.; ELLIOT ALPERT, M.D.
Endoscopic sclerotherapy is now widely used in the treatment of bleeding esophageal varices. The injection of sclerosing agents into the esophagus may lead to mucosal ulceration and damage to the esophageal wall resulting in fibrosis and formation of esophageal strictures (1). The course of sclerotherapy-induced esophageal stricture is unknown. Most reports suggest strictures are "successfully" handled by dilation; however, we report the cases of two patients with refractory esophageal strictures occurring after sclerotherapy.
Patient 1: A 46-year-old alcoholic man was hospitalized due to massive variceal bleeding (Child's group C hepatic functional reserve score). Three sessions of sclerotherapy were done 7
TABIBIAN N, ALPERT E. Refractory Sclerotherapy-Induced Esophageal Strictures. Ann Intern Med. ;106:59–60. doi: 10.7326/0003-4819-106-1-59
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Published: Ann Intern Med. 1987;106(1):59-60.
Esophageal Disorders, Gastroenterology/Hepatology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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