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Endoscopic injection sclerotherapy for esophageal variceal bleeding in children with extrahepatic portal vein obstruction.
J Formos Med Assoc. 1994 Oct; 93(10):885-7.JF

Abstract

From October 1989 to March 1994, 30 endoscopic injection sclerotherapies were performed in four consecutive female children who had extrahepatic portal vein obstruction complicated with esophageal variceal bleeding. Eradication of varices was achieved in three patients. However, bleeding occurred again in two of these patients due to esophageal varix recurrence. One patient, who discontinued sclerotherapy because of hemoptysis during treatment, also had 12 episodes of esophageal bleeding which were controlled by shunt therapy. In addition to hemoptysis, other complications were bleeding during sclerotherapy and fever. The sclerotherapy complication rate in this study was 17%. Our results suggest that endoscopic injection sclerotherapy is an effective and safe method for the prevention of variceal bleeding in children with extrahepatic portal vein obstruction. Long-term regular endoscopy follow-up and even repeated sclerotherapy are needed to prevent bleeding due to recurrence of esophageal varices.

Authors+Show Affiliations

Department of Pediatrics, Chang Gung Medical College, Taoyuan Hsien, Taiwan, R.O.C.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

7749345

Citation

Kong, M S., et al. "Endoscopic Injection Sclerotherapy for Esophageal Variceal Bleeding in Children With Extrahepatic Portal Vein Obstruction." Journal of the Formosan Medical Association = Taiwan Yi Zhi, vol. 93, no. 10, 1994, pp. 885-7.
Kong MS, Wang KL, Wong HF. Endoscopic injection sclerotherapy for esophageal variceal bleeding in children with extrahepatic portal vein obstruction. J Formos Med Assoc. 1994;93(10):885-7.
Kong, M. S., Wang, K. L., & Wong, H. F. (1994). Endoscopic injection sclerotherapy for esophageal variceal bleeding in children with extrahepatic portal vein obstruction. Journal of the Formosan Medical Association = Taiwan Yi Zhi, 93(10), 885-7.
Kong MS, Wang KL, Wong HF. Endoscopic Injection Sclerotherapy for Esophageal Variceal Bleeding in Children With Extrahepatic Portal Vein Obstruction. J Formos Med Assoc. 1994;93(10):885-7. PubMed PMID: 7749345.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic injection sclerotherapy for esophageal variceal bleeding in children with extrahepatic portal vein obstruction. AU - Kong,M S, AU - Wang,K L, AU - Wong,H F, PY - 1994/10/1/pubmed PY - 1994/10/1/medline PY - 1994/10/1/entrez SP - 885 EP - 7 JF - Journal of the Formosan Medical Association = Taiwan yi zhi JO - J Formos Med Assoc VL - 93 IS - 10 N2 - From October 1989 to March 1994, 30 endoscopic injection sclerotherapies were performed in four consecutive female children who had extrahepatic portal vein obstruction complicated with esophageal variceal bleeding. Eradication of varices was achieved in three patients. However, bleeding occurred again in two of these patients due to esophageal varix recurrence. One patient, who discontinued sclerotherapy because of hemoptysis during treatment, also had 12 episodes of esophageal bleeding which were controlled by shunt therapy. In addition to hemoptysis, other complications were bleeding during sclerotherapy and fever. The sclerotherapy complication rate in this study was 17%. Our results suggest that endoscopic injection sclerotherapy is an effective and safe method for the prevention of variceal bleeding in children with extrahepatic portal vein obstruction. Long-term regular endoscopy follow-up and even repeated sclerotherapy are needed to prevent bleeding due to recurrence of esophageal varices. SN - 0929-6646 UR - https://www.unboundmedicine.com/medline/citation/7749345/Endoscopic_injection_sclerotherapy_for_esophageal_variceal_bleeding_in_children_with_extrahepatic_portal_vein_obstruction_ L2 - https://medlineplus.gov/gastrointestinalbleeding.html DB - PRIME DP - Unbound Medicine ER -