McGrew W, Sutton W, Madhavan S S, Nelson D A, Avant G R, Dunn G D
South Med J. 1984 Sep;77(9):1091-4. doi: 10.1097/00007611-198409000-00008.
Endoscopic sclerotherapy is used to obliterate esophageal varices in an attempt to decrease bleeding episodes. First reported in the 1940s, sclerotherapy has recently enjoyed renewed interest because surgical shunting procedures, though effective in preventing rebleeding, are associated with significant mortality and provide no increase in long-term survival. Sclerotherapy, using a flexible endoscope, has been used in 30 patients at Vanderbilt University and the VA Medical Center, Nashville, Tenn. We present our clinical experience, compare our results with those of other groups, and discuss other approaches to the management of bleeding varices.
内镜硬化疗法用于消除食管静脉曲张，以减少出血发作。硬化疗法于20世纪40年代首次报道，最近又重新受到关注，因为手术分流术虽然在预防再出血方面有效，但与显著的死亡率相关，且不能提高长期生存率。使用可弯曲内镜的硬化疗法已在田纳西州纳什维尔的范德比尔特大学和退伍军人医疗中心应用于30例患者。我们介绍我们的临床经验，将我们的结果与其他组的结果进行比较，并讨论治疗曲张静脉出血的其他方法。
