Lewis J, Chung R S, Allison J
Arch Surg. 1980 Apr;115(4):476-80. doi: 10.1001/archsurg.1980.01380040098017.
Sclerotherapy of esophageal varices is being reevaluated by many surgeons because of increasing dissatisfaction with shunting procedures. A new technique of sclerotherapy using the flexible fiberoptic endoscope with balloon tamponade of variceal channels is being evaluated. To date, 18 patients have been treated by us with this method. Nine patients with active bleeding had control of their hemorrhage. Two patients experienced three episodes of rebleeding. Of patients not actively bleeding at the time of injection, one patient experienced rebleeding and subsequently died. Four other deaths not related to varices have occurred in this series. All surviving patients underwent repeated sclerotherapy until eradication of varices was achieved. This report demonstrates the feasibility of sclerotherapy of esophageal varices using the flexible fiberoptic endoscope.
由于对分流手术的不满日益增加，许多外科医生正在重新评估食管静脉曲张的硬化疗法。一种使用柔性纤维内窥镜并对曲张静脉通道进行球囊压迫的新硬化疗法技术正在接受评估。迄今为止，我们已用这种方法治疗了18例患者。9例活动性出血患者的出血得到了控制。2例患者经历了3次再出血发作。在注射时无活动性出血的患者中，1例患者发生再出血并随后死亡。该系列中还发生了另外4例与静脉曲张无关的死亡。所有存活患者均接受了反复硬化治疗，直至静脉曲张消除。本报告证明了使用柔性纤维内窥镜进行食管静脉曲张硬化治疗的可行性。
