Refractory Sclerotherapy-Induced Esophageal Strictures
Authors: NESHAN TABIBIAN
Journal: Annals of Internal Medicine (1987)

Brief Reports1 January 1987Refractory Sclerotherapy-Induced Esophageal StricturesNESHAN TABIBIAN, M.D., ELLIOT ALPERT, M.D.NESHAN TABIBIAN, M.D.Search for more papers by this author, ELLIOT ALPERT, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-106-1-59 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptEndoscopic 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...References1. AYRESGOFFWARREN SJG. Endoscopic sclerotherapy for bleeding esophageal varices: effects and complications. Ann Intern Med. 1983;98:900-3. LinkGoogle Scholar2. ROSECRANESMITH JMP. Factors affecting successful endoscopic sclerotherapy for oesophageal varices. Gut. 1983;24:946-9. CrossrefMedlineGoogle Scholar3. FLEIGSTANCERUETTENAUERDITSCHUNEIT WEKH. Emergency endoscopic sclerotherapy for bleeding esophageal varices: a prospective study in patients not responding to balloon tamponade. Gastrointest Endosc. 1983;29:8-14. CrossrefMedlineGoogle Scholar4. KORULABALARTRADVAN JLG. A prospective, randomized controlled trial of chronic esophageal variceal sclerotherapy. Hepatology. 1985;5:584-9. CrossrefMedlineGoogle Scholar5. PAQUET K. Endoscopic paravariceal injection sclerotherapy of the esophagus—indications, technique, complications: results of a period of 14 years. Gastrointest Endosc. 1983;4:310-5. CrossrefGoogle Scholar6. WITZELWOLFBERGSMERKI LEH. Prophylactic endoscopic sclerotherapy of oesophageal varices: a prospective controlled trial. Lancet. 1985;1:773-5. CrossrefMedlineGoogle Scholar7. LARSONVANDERTOLLNETSCHERPOLK GDDH. Esophageal motility: effects of injection sclerotherapy. Surgery. 1984;96:703-10. MedlineGoogle Scholar8. EVANSJONESCLEARYSMITH DDBP. Oesophageal varices treated by sclerotherapy: a histopathological study. Gut. 1982;23:615-20. CrossrefMedlineGoogle Scholar9. HAYNESSANOWSKIFOUTCHBELLAPRAVALU WRPS. Strictures following esophageal variceal sclerotherapy: clinical course and response to dilation therapy. Gastrointest Endosc. 1986;32:202-5. CrossrefMedlineGoogle Scholar10. SORENSENBURCHARTHPEDERSONFINDAHL TFMF. Oesophageal stricture and dysphagia after endoscopic sclerotherapy for bleeding varices. Gut. 1984;25:473-7. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Baylor College of Medicine Ben Taub Hospital Veterans Administration Medical Center Houston, Texas. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFrequent endoscopic variceal sclerotherapy increases risk of complications 1 January 1987Volume 106, Issue 1Page: 59-60KeywordsAlcoholicsEsophagusFibrosisHemorrhageUlcers ePublished: 1 December 2008 Issue Published: 1 January 1987 PDF downloadLoading ...