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Refractory Sclerotherapy-Induced Esophageal Strictures

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▸Requests for reprints should be addressed to Neshan Tabibian, M.D.; Veterans Administration Medical Center, Digestive Diseases 111D, 2002 Holcombe Boulevard; Houston, TX 77211.

Baylor College of Medicine Ben Taub Hospital and the Veterans Administration Medical Center; Houston, Texas.

Ann Intern Med. 1987;106(1):59-60. doi:10.7326/0003-4819-106-1-59
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This excerpt has been provided in the absence of an abstract.

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




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