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Techniques for endoscopic obliteration of esophageal varices.
Surg Annu. 1991; 23 Pt 1:175-202.SA

Abstract

Endoscopic treatment is widely accepted for both initial and subsequent definitive therapy in patients with hemorrhage from esophageal varices. Endoscopic sclerotherapy, once performed with rigid endoscopes in anesthetized patients, is now performed with flexible endoscopes in awake patients, who frequently return home immediately after the procedure. Such treatment does not confer a survival advantage in the early period after variceal hemorrhage, but serial treatment does result in a lower risk of recurrent hemorrhage and probably prolongs life. Primary treatment by endoscopic sclerotherapy appears to be equal or more effective than primary shunt therapy, even with a sclerotherapy failure rate of from 10 to 30 percent. In spite of such results, the incidence of rebleeding and treatment-related complications and the mortality among sclerotherapy-treated patients remain high. Newer forms of endoscopic treatment such as polymer injection and mechanical ligation have emerged in attempts to better the results obtained with sclerotherapy. Refinement of the technique for conventional sclerotherapy and the potential for increased effectiveness of the new techniques may yet result in improved and safer endoscopic therapy for bleeding esophageal varices.

Authors

No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

1998146

Citation

Van Stiegmann, G. "Techniques for Endoscopic Obliteration of Esophageal Varices." Surgery Annual, vol. 23 Pt 1, 1991, pp. 175-202.
Van Stiegmann G. Techniques for endoscopic obliteration of esophageal varices. Surg Annu. 1991;23 Pt 1:175-202.
Van Stiegmann, G. (1991). Techniques for endoscopic obliteration of esophageal varices. Surgery Annual, 23 Pt 1, 175-202.
Van Stiegmann G. Techniques for Endoscopic Obliteration of Esophageal Varices. Surg Annu. 1991;23 Pt 1:175-202. PubMed PMID: 1998146.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Techniques for endoscopic obliteration of esophageal varices. A1 - Van Stiegmann,G, PY - 1991/1/1/pubmed PY - 1991/1/1/medline PY - 1991/1/1/entrez SP - 175 EP - 202 JF - Surgery annual JO - Surg Annu VL - 23 Pt 1 N2 - Endoscopic treatment is widely accepted for both initial and subsequent definitive therapy in patients with hemorrhage from esophageal varices. Endoscopic sclerotherapy, once performed with rigid endoscopes in anesthetized patients, is now performed with flexible endoscopes in awake patients, who frequently return home immediately after the procedure. Such treatment does not confer a survival advantage in the early period after variceal hemorrhage, but serial treatment does result in a lower risk of recurrent hemorrhage and probably prolongs life. Primary treatment by endoscopic sclerotherapy appears to be equal or more effective than primary shunt therapy, even with a sclerotherapy failure rate of from 10 to 30 percent. In spite of such results, the incidence of rebleeding and treatment-related complications and the mortality among sclerotherapy-treated patients remain high. Newer forms of endoscopic treatment such as polymer injection and mechanical ligation have emerged in attempts to better the results obtained with sclerotherapy. Refinement of the technique for conventional sclerotherapy and the potential for increased effectiveness of the new techniques may yet result in improved and safer endoscopic therapy for bleeding esophageal varices. SN - 0081-9638 UR - https://www.unboundmedicine.com/medline/citation/1998146/Techniques_for_endoscopic_obliteration_of_esophageal_varices_ L2 - https://www.diseaseinfosearch.org/result/2658 DB - PRIME DP - Unbound Medicine ER -