Endoscopic Sclerotherapy for Esophageal Varices
Authors: P Purri, R Pisani, A Fimmanò, P V Frongillo, S Coletta
Journal: Annals of Internal Medicine (1984)

Position Paper1 April 1984Endoscopic Sclerotherapy for Esophageal VaricesHEALTH AND PUBLIC POLICY COMMITTEE,*HEALTH AND PUBLIC POLICY COMMITTEE,*Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-100-4-608 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptEndoscopic sclerotherapy is a procedure to treat bleeding esophageal varices and prevent future variceal bleeding. The procedure involves the passage of an esophagoscope and injection of a sclerosing agent into or around esophageal varices. The mechanisms by which injection sclerotherapy controls variceal hemorrhage are not understood completely but are thought to involve damage to the intima, intraluminal thrombosis, and intravascular fibrous organization (1-7).Important questions on the appropriate use of endoscopic sclerotherapy are unresolved. There is disagreement on the indications for treatment; type of esophagoscope and anesthetic to use; type and volume of sclerosing agent to use; adjunctive supportive measures;...References1. AYRESGOFFWARREN SJG. Endoscopic sclerotherapy of bleeding esophageal varices: effects and complications. Ann Intern Med. 1983;98:900-3. LinkGoogle Scholar2. AYRESGOFFWARRENSCHAEFER SJGJ. Esophageal ulceration and bleeding after flexible fiberoptic esophageal vein sclerosis. Gastroenterology. 1982;83:131-6. CrossrefMedlineGoogle Scholar3. GALAMBOS J. Endoscopic sclerotherapy [Editorial]. Ann Intern Med. 1983;98:1009-11. LinkGoogle Scholar4. HELPAPBOLLWEG BL. Morphological changes in the terminal oesophagus with varices, following sclerosis of the wall. Endoscopy. 1981;13:229-33. CrossrefMedlineGoogle Scholar5. EVANSJONESCLEARYSMITH DDBP. Oesophageal varices treated by sclerotherapy: a histopathological study. Gut. 1982;23:615-20. CrossrefMedlineGoogle Scholar6. LEWISCHUNGALLISON JRJ. 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Gastroenterology. 1978;75:566-9. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *This paper was authored by Peter M. Marzuk, M.D., and J. Sanford Schwartz, M.D., and was developed for the Health and Public Policy Committee by the Clinical Efficacy Assessment Subcommittee: Donald E. Olson, M.D., Chairman; David Banta, M.D.; Alvan R. Feinstein, M.D.; Howard S. Frazier, M.D.; Richard B. Hornick, M.D.; and Seymour Perry, M.D. Members of the Health and Public Policy Committee for the 1983-1984 term were Edwin P. Maynard, III, M.D., Chairman; Arthur J. Atkinson, Jr., M.D.; Steven C. Beering, M.D.; Richard G. Farmer, M.D.; Paul F. Griner, M.D.; John R. Hogness, M.D.; Charles E. Lewis, M.D.; Donald E. Olson, M.D.; Malcolm L. Peterson, M.D.; Theodore B. Schwartz, M.D.; and Helen L. Smits, M.D. Richard J. Reitemeier, M.D., and Francis J. Sweeney, Jr., M.D., were ex officio members. This position paper was adopted by the Executive Committee of the Board of Regents on 16 January 1984. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPrediction of outcome in patients with acute variceal haemorrhageNew approach in the management of oesophageal varicesPortal Hypertension and Portacaval Shunt**Supported by NIH Grants A3048, A5919, AM07315, AM07511, AM1228, AM19875, AM12280, AM17103, and DK41920.Procedure-Specific Outcomes Assessment for EsophagogastroduodenoscopyInjection Therapy for Variceal BleedingEsophageal VaricesPortal vein thrombosis: Treatment of variceal hemorrhage by endoscopic variceal ligationGASTROESOPHAGEAL VARICES: PATHOGENESIS AND THERAPY OF ACUTE BLEEDINGTreatment of acute gastroesophageal variceal hemorrhageGastrointestinal EndoscopyEndoscopic therapy for bleeding from the upper gastrointestinal tractRole of endoscopic variceal sclerotherapy in the long-term management of variceal bleeding: A meta-analysisENDOSCOPIC SCLEROTHERAPY FOR ESOPHAGO-GASTRIC VARICES: A CRITICAL REAPPRAISALIntramural Hematoma of the Esophagus: Unusual Complication of Esophageal Variceal SclerotherapySevere ulceration and delayed perforation of the esophagus after endoscopic variceal sclerotherapyBacterial peritonitis following endoscopic variceal sclerotherapySodium Morrhuate Delivery to the Lung During Endoscopic Variceal SclerotherapyALFRED F. 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MIRON, M.D.Decrease in FEV1 and FVC with Sodium Morrhuate Esophageal SclerotherapyAcute Gastrointestinal BleedingAcute Gastrointestinal BleedingThe management of acutely bleeding varices by injection sclerotherapyWhy have controlled trials failed to demonstrate a benefit of esophagogastroduodenoscopy in acute upper gastrointestinal bleeding?Intramural hematoma of the esophagus—a complication of endoscopic injection sclerotherapySCLEROTHERAPY FOR PROPHYLAXIS OF VARICEAL BLEEDINGUpper gastrointestinal haemorrhageEradication of esophageal varices with repeated injection sclerotherapy in inoperable patientsOutpatient esophageal variceal sclerotherapy: Is it safe and cost-effective?Endoscopic therapy of upper gastrointestinal bleeding in humansTreatment of Bleeding Oesophageal VaricesEffect of endoscopic variceal sclerotherapy on gas exchange and hemodynamics in humansPleural effusions after endoscopic variceal sclerotherapyTHE TREATMENT OF OESOPHAGEAL VARICES AND PORTAL HYPERTENSIONThe Clinical Efficacy Assessment Project of the American Collegeof PhysiciansSclerotherapy of Esophageal VaricesHARVEY J. DWORKEN, M.D. 1 April 1984Volume 100, Issue 4Page: 608-610KeywordsAnestheticsForecastingHemorrhagePrevention, policy, and public healthPublic policySafetySub-specialty careThrombosis ePublished: 1 December 2008 Issue Published: 1 April 1984 Copyright & Permissions© 1984 American College of PhysiciansPDF downloadLoading ...