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Endoscopic Sclerotherapy

Endoscopic Sclerotherapy

Endoscopic 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. 

Endoscopic sclerotherapy can be performed in three different way:

  1. Injection into the varices to thrombose, obliterate and eradicate them.
  2. Paravariceal injection to cover the varices with a fibrous layer; and
  3. The combination of submucosal and intravariceal injection.

The paravariceal technique seems to be superior to the intravariceal method with regard to recurrence of hemorrhage and long-term results.

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