[Endoscopic sclerosing of esophageal varices--technique, possibilities and limits of the method].
The paper intends to give a survey of the significance of endoscopic sclerotherapy in gastro-esophageal varices. The control of an acute bleeding can be achieved in a high percentage (70-95%). However, the hospital mortality has persisted in 30% depending on early rebleeding episodes and alterations in hepatic function. Controlled trials have confirmed a lowering of rebleeding risk as well as an improved survival by repeated sclerotherapy. The effectiveness of prophylactic sclerosing before the first bleeding is uncertain because of contrary results published. A prophylactic application seems to be favourable in patients at high risk of bleeding only.
Zipprich
B
B
Klinik für Innere Medizin, Martin-Luther-Universität Halle-Wittenberg.
Nilius
R
R
D004932:Esophageal and Gastric Varices / Q000628:therapy*; D004945:Esophagoscopy; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D006801:Humans; D012008:Recurrence; D012597:Sclerosing Solutions / Q000627:therapeutic use; D015911:Sclerotherapy / Q000379:methods*
D012597:Sclerosing Solutions
Endoskopische Osophagusvarizensklerosierung--Technik, Möglichkeiten und Grenzen der Methode.