This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (98)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Jeffrey Lewis, MD; Raphael S. Chung, MD, FACS; John Allison, MD, MBChB, FRCS(Ed). FCS(SA)

Arch Surg. 1980;115(4):476-480.

Abstract
• Sclerotherapy of esophageal varices is being reevaluated by many surgeons because of increasing dissatisfaction with shunting procedures. A new technique of sclerotherapy using the flexible fiberoptic endoscope with balloon tamponade of variceal channels is being evaluated. To date, 18 patients have been treated by us with this method. Nine patients with active bleeding had control of their hemorrhage. Two patients experienced three episodes of rebleeding. Of patients not actively bleeding at the time of injection, one patient experienced rebleeding and subsequently died. Four other deaths not related to varices have occurred in this series. All surviving patients underwent repeated sclerotherapy until eradication of varices was achieved. This report demonstrates the feasibility of sclerotherapy of esophageal varices using the flexible fiberoptic endoscope.

(Arch Surg 115:476-480, 1980)

Author Affiliations
From the Department of Surgery, University of Iowa College of Medicine, Iowa City (Drs Lewis and Allison); and the Surgical Services of the Veterans Administration Hospital, Iowa City (Dr Chung).

Footnotes
Accepted for publication Nov 30, 1979.

Read before the 87th annual meeting of the Western Surgical Association, Colorado Springs, Colo, Nov 13, 1979.

Reprint requests to Department of Surgery, University of Iowa Hospitals and Clinics, Newton Rd, Iowa City, IA 52242 (Dr Lewis).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Update in Injection Sclerotherapy of Esophageal Varices
Camara
J Intensive Care Med 1986;1:171-177.
ABSTRACT  

Infectious Complications of Endoscopic Injection Sclerotherapy
Low et al.
Arch Intern Med 1986;146:569-571.
ABSTRACT  

Endoscopic Sclerotherapy for Esophageal Varices
HEALTH AND PUBLIC POLICY COMMITTEE,
ANN INTERN MED 1984;100:608-610.
ABSTRACT  

Transient Bacteremia Following Endoscopic Injection Sclerotherapy of Esophageal Varices
Camara et al.
Arch Intern Med 1983;143:1350-1352.
ABSTRACT  

Endoscopic Sclerotherapy for Bleeding Esophageal Varices: Effects and Complications
AYRES et al.
ANN INTERN MED 1983;98:900-903.
ABSTRACT  

Cost of Treatment of Bleeding Esophageal Varices
Chung and Lewis
Arch Surg 1983;118:482-485.
ABSTRACT  

The Role of Injection Sclerotherapy in the Emergency and Definitive Management of Bleeding Esophageal Varices
Allison
JAMA 1983;249:1484-1487.
ABSTRACT