SCLEROTHERAPY OF ESOPHAGEAL VARICES
Abstract
With the introduction of the endoscopy method into clinical practice, it became possible to use endoscopes to perform sclerotherapy of esophageal varices. Endoscopic surgery is aimed at stopping bleeding and preventing recurrent bleeding. It is considered more justified to use large-diameter surgical fibroendoscopes such as TQF-2D "Olimpus" (Japan) in combination with local anesthesia, which makes esophagoscopy less traumatic. Endoscopic sclerotherapy of esophageal varices can be performed in two ways: by para- or intravascular administration of special drugs (1-3% thrombovar). According to J. Tarblancke et al., the indication for endoscopic sclerotherapy of esophageal varices is: Esophageal variceal bleeding in patients for whom surgical treatment is contraindicated, bleeding from single esophageal varices (Q Salem et al.), patients with a high risk of recurrent bleeding.
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