title: [Therapy of esophageal varices--comparison between shunt surgery and endoscopic sclerosing therapy].
abstract: The results of the treatment of esophageal varices by portosystemic shunts vs. endoscopical sclerotherapy are compared on the base of own experience and the literature. The author's decision, to do no more shunts routinely, is explained by 10 "contra"-arguments, as well as the preference for endoscopical sclerotherapy is demonstrated by 10 "pro"-arguments. This comparison is not free of bias by subjectivity and the regional (endoscopical) experience, but despite this limitation, we think it can be accepted more generally. The definitive decision between both will be open till the first comparative prospective controlled trial: portosystemic shunt vs. endoscopical sclerotherapy.
mesh_terms: D002986:Clinical Trials as Topic; D003362:Cost-Benefit Analysis; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D006501:Hepatic Encephalopathy / Q000209:etiology; D006801:Humans; D008017:Life Expectancy; D008104:Liver Cirrhosis, Alcoholic / Q000601:surgery; D010166:Palliative Care; D010349:Patient Compliance; D011170:Portasystemic Shunt, Surgical / Q000009:adverse effects; D011788:Quality of Life; D012306:Risk; D012597:Sclerosing Solutions / Q000627:therapeutic use*
chemical_list: D012597:Sclerosing Solutions
vernacular_title: Therapie der Osophagusvarizen - Shunt-Chirurgie und endoskopische Sklerosierungstherapie im Vergleich -.