Höpner F
Chir Pediatr. 1982 May-Jun;23(3):184-9.
Results of treatment of oesophageal varices in children with portal hypertension, employing sub-mucous sclerosing injections, are reported. Indications for this type of therapy are of three types : acute haemorrhage, preparation for a shunt operation, and single treatment when hepatic function is such that a portocaval shunt will probably not be successful. The technique employed involves both injection of the varices, and injections into the oesophageal submucosa in order to sclerose the wall vessels. The choice between a rigid and flexible apparatus is discussed. The advantages and inconveniences of this method are illustrated by the results obtained in 16 patients. Complications are exceptional, and the technique appears to be extremely beneficial in many cases.
报告了采用粘膜下硬化注射治疗儿童门静脉高压症食管静脉曲张的结果。这种治疗方法的适应症有三种：急性出血、分流手术的准备，以及当肝功能表明门腔分流术可能不成功时的单一治疗。所采用的技术包括对静脉曲张进行注射，以及对食管粘膜下层进行注射，以使壁血管硬化。讨论了刚性器械和柔性器械之间的选择。16例患者的治疗结果说明了这种方法的优缺点。并发症很少见，而且该技术在许多情况下似乎非常有益。
