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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1982 Nov;64(6):401–405.

Oesophageal varices: evaluation of injection sclerotherapy without general anesthesia using the flexible fibreoptic gastroscope.

J S Kirkham, J B Quayle
PMCID: PMC2494089  PMID: 6982656

Abstract

A technique of injecting oesophageal varices through a flexible fibreoptic gastroscopic is described and its value in controlling haemorrhage and eradicating varices in 34 patients is considered prospectively. Twenty-five per cent of the patients re-bled during the first emergency admission after injections, but control was achieved in all. Subsequent re-bleeding occurred in 46% and varices were ultimately eradicated in 59%. It ic concluded that the procedure is associated with fewer serious complications compared with rigid oesophagoscopic techniques and may be as effective.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bailey M. E., Dawson J. L. Modified oesophagoscope for injecting oesophageal varices. Br Med J. 1975 Jun 7;2(5970):540–541. doi: 10.1136/bmj.2.5970.540-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Clark A. W., Macdougall B. R., Westaby D., Mitchell K. J., Silk D. B., Strunin L., Dawson J. L., Williams R. Prospective controlled trial of injection sclerotherapy in patient with cirrhosis and recent variceal haemorrhage. Lancet. 1980 Sep 13;2(8194):552–554. doi: 10.1016/s0140-6736(80)91990-x. [DOI] [PubMed] [Google Scholar]
  3. Conn H. O. Therapeutic portacaval anastomosis: to shunt or not to shunt. Gastroenterology. 1974 Nov;67(5):1065–1071. [PubMed] [Google Scholar]
  4. Johnston G. W., Rodgers H. W. A review of 15 years' experience in the use of sclerotherapy in the control of acute haemorrhage from oesophageal varices. Br J Surg. 1973 Oct;60(10):797–800. doi: 10.1002/bjs.1800601011. [DOI] [PubMed] [Google Scholar]
  5. MACBETH R. Treatment of oesophageal varices in portal hypertension by means of sclerosing injections. Br Med J. 1955 Oct 8;2(4944):877–880. doi: 10.1136/bmj.2.4944.877. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Novis B. H., Duys P., Barbezat G. O., Clain J., Bank S., Terblanche J. Fibreoptic endoscopy and the use of the Sengstaken tube in acute gastrointestinal haemorrhage in patients with portal hypertension and varices. Gut. 1976 Apr;17(4):258–263. doi: 10.1136/gut.17.4.258. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. PARSONS-SMITH B. G., SUMMERSKILL W. H., DAWSON A. M., SHERLOCK S. The electroencephalograph in liver disease. Lancet. 1957 Nov 2;273(7001):867–871. doi: 10.1016/s0140-6736(57)90005-3. [DOI] [PubMed] [Google Scholar]
  8. Paquet K. J., Oberhammer E. Sclerotherapy of bleeding oesophageal varices by means of endoscopy. Endoscopy. 1978 Feb;10(1):7–12. doi: 10.1055/s-0028-1098252. [DOI] [PubMed] [Google Scholar]
  9. Pugh R. N., Murray-Lyon I. M., Dawson J. L., Pietroni M. C., Williams R. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg. 1973 Aug;60(8):646–649. doi: 10.1002/bjs.1800600817. [DOI] [PubMed] [Google Scholar]
  10. Terblanche J., Northover J. M., Bornman P., Kahn D., Barbezat G. O., Sellars S. L., Saunders S. J. A prospective evaluation of injection sclerotherapy in the treatment of acute bleeding from esophageal varices. Surgery. 1979 Mar;85(3):239–245. [PubMed] [Google Scholar]
  11. Terblanche J., Northover J. M., Bornman P., Kahn D., Silber W., Barbezat G. O., Sellars S., Campbell J. A., Saunders S. J. A prospective controlled trial of sclerotherapy in the long term management of patients after esophageal variceal bleeding. Surg Gynecol Obstet. 1979 Mar;148(3):323–333. [PubMed] [Google Scholar]
  12. Williams K. G., Dawson J. L. Fibreoptic injection of oesophageal varices. Br Med J. 1979 Sep 29;2(6193):766–767. doi: 10.1136/bmj.2.6193.766. [DOI] [PMC free article] [PubMed] [Google Scholar]

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