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Endoscopy 1984; 16(3): 98-100
DOI: 10.1055/s-2007-1018545
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Injection Sclerosis of Oesophageal Varices in Children - Indications and Techniques

L. Dall'Oglio, P. Bagolan, F. Ferro, A. Ponticelli, S. Cadranel* , M. Rivosecchi
  • Digestive Surgery Service - Ospedale “Bambino Gesu” - Rome
  • *Gastroenterology Unit - Department of Pediatrics - Univ. of Bruxelles
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Publication History

Publication Date:
17 March 2008 (online)

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Summary

Endoscopic injection sclerosis (EIS) of oesophageal varices is a valuable alternative treatment of recurrent variceal haemorrhage in childhood, since derivative treatment is not always possible; the spontaneous regression of varices occurring in some cases could also be promoted by EIS. A modified technique using a specially designed silicone rubber tube around the pediatric-type fiberscope in order to compress the injected varix is described. Eight children aged between 15 months and 12 years were treated with this method and 2 to 4 varices were sclerosed at each procedure using the Olympus NM3K injector. A constant reduction of the volume of the treated varices was observed, and the risks of variceal bleeding diminished significantly.

Key words:

Oesophageal varices - Prophylactic sclerotherapy - Oesophageal endosclerosis