Kumagai Y, Makuuchi H, Yamazaki E
Mitsukoshi Health and Welfare Foundation Clinic, Tokyo Japan.
Surg Endosc. 1987;1(1):29-32. doi: 10.1007/BF00703084.
In 1978, the first Japanese report of sclerotherapy with the flexible esophagoscope was published. At the Second Meeting of the Japanese Society of Sclerotherapy for Esophageal Varices (August 1986), reports were given on over 4000 cases treated by over 70 groups of endoscopists using various methods and sclerosants. These cases included 15 (about 0.4%) in which esophageal perforation occurred, and other complications, some fatal, were also reported. The main problem is to reduce the frequency of these serious complications. Over 400 cases have been treated by the authors in the past 3 years with a method involving consecutive injections of anhydrous ethanol when it is certain that the needle is in the varices. If there is any possibility of the needle being dislocated, 3-5 ml 1% polydocanol is administered instead. Weekly injections should be repeated until all varices have been sclerosized. No major complications have been observed, and the results are satisfactory [7].
1978年，日本首次发表了关于使用可弯曲食管镜进行硬化治疗的报告。在日本食管静脉曲张硬化治疗学会第二次会议（1986年8月）上，有报告称70多个内镜医师小组采用各种方法和硬化剂治疗了4000多例病例。这些病例中有15例（约0.4%）发生了食管穿孔，还报告了其他一些并发症，其中有些是致命的。主要问题是降低这些严重并发症的发生率。在过去3年里，作者采用一种方法治疗了400多例病例，即当确定针头位于静脉曲张内时连续注射无水乙醇。如果针头有任何脱位的可能性，则改为注射3 - 5毫升1%的聚多卡醇。应每周重复注射，直到所有静脉曲张都被硬化。未观察到重大并发症，结果令人满意[7]。
