Ferrando J, Reig G
Rev Esp Enferm Apar Dig. 1989 Jan;75(1):35-9.
In recent years endoscopic sclerotherapy of esophageal varices has proliferated enormously, but the technique is not free of complications, which can be divided into three large areas, depending on the moment when they appear: complications due to technical errors, early complications and late complications. The authors analyze the complications in 105 patients who had a total of 385 sclerosis sessions. After describing the results and discussing them, it is concluded that the use of adequate material and sufficient technical experience are the best guarantee against the first type of complications, that hemorrhage is the most common early complication and that esophageal stenosis is the most frequent late complication. Finally, the existence of postsclerotherapy pseudo-polyps, which are asymptomatic, can pose a differential diagnosis with benign or malignant tumors of the distal third of the esophagus.
近年来，食管静脉曲张的内镜硬化治疗已得到极大普及，但该技术并非没有并发症，根据并发症出现的时间可分为三大类：技术失误导致的并发症、早期并发症和晚期并发症。作者分析了105例患者共385次硬化治疗的并发症情况。在描述并讨论结果后得出结论：使用合适的材料和足够的技术经验是预防第一类并发症的最佳保证；出血是最常见的早期并发症；食管狭窄是最常见的晚期并发症。最后，硬化治疗后无症状的假息肉的存在可能会给食管远端三分之一处的良性或恶性肿瘤的鉴别诊断带来困难。
