[Diagnosis and treatment of bleeding esophago-gastric varices].
Endoscopic injection sclerotherapy and/or endoscopic variceal ligation are well accepted and established in the treatment of bleeding esophageal varices. Endoscopic treatment for bleeding gastric varices is behind in hemostatic rate by 5% ethanolamine oleate as sclerosant. However, since cyanoacrylate is employed as endoscopic injection sclerosant, hemostatic rate was greatly improved especially for the bleeding large gastric varices. In addition angiographic sclerotherapy (balloon occluded retrograde transvenous obliteration) is highly effective for large gastric fundal varices and no rebleeding is expected when successfully done. Endoscopic and angiographic sclerotherapy made great improvement in the treatment of esophagogastric varices.
Oho
K
K
Second Department of Medicine, Kurume University School of Medicine.
Toyonaga
A
A
D003487:Cyanoacrylates / Q000008:administration & dosage; D016099:Endoscopy, Gastrointestinal; D004932:Esophageal and Gastric Varices / Q000175:diagnosis / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000379:methods; D006635:Histamine H2 Antagonists / Q000627:therapeutic use; D006801:Humans; D008026:Ligation / Q000379:methods; D009829:Oleic Acids / Q000008:administration & dosage; D012597:Sclerosing Solutions / Q000008:administration & dosage; D015911:Sclerotherapy / Q000379:methods*; D014662:Vasoconstrictor Agents / Q000627:therapeutic use; D014667:Vasopressins / Q000627:therapeutic use
D003487:Cyanoacrylates; D006635:Histamine H2 Antagonists; D009829:Oleic Acids; D012597:Sclerosing Solutions; D014662:Vasoconstrictor Agents; D014667:Vasopressins; C033343:ethanolamine oleate