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A technique for injection of sclerosing agents into esophageal varices using a fiberoptic endoscope in conscious but sedated patients was evaluated. With a flexible needle of our own design, 82 such procedures were performed in 22 patients over a period of 17 months. A solution of 0.5% sodium tetradecyl sulfate, 50% glucose, and 3.5 units of bovine thrombin per ml was used. None of the patients were surgical candidates and all presented with variceal hemorrhage. The complication rate was 2.4% (two of 82 procedures). Prior to beginning injection sclerosis the 22 patients had sustained an average of 3.8 episodes of hemorrhage and the average transfusion requirement was 25.7 units per patient. After instituting therapy the number of episodes of hemorrhage averaged 1.3 per patient with a mean transfusion requirement of 7.3 units.
M V Sivak, and
D J Stout, and
G Skipper
May 1981,
Gastrointestinal endoscopy,
M V Sivak, and
D J Stout, and
G Skipper
April 1990,
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M V Sivak, and
D J Stout, and
G Skipper
February 1986,
Gastrointestinal endoscopy,
M V Sivak, and
D J Stout, and
G Skipper
October 1985,
Gastrointestinal endoscopy,
M V Sivak, and
D J Stout, and
G Skipper
January 1986,
Acta gastroenterologica Latinoamericana,
M V Sivak, and
D J Stout, and
G Skipper
February 1986,
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M V Sivak, and
D J Stout, and
G Skipper
February 1982,
Gastrointestinal endoscopy,
M V Sivak, and
D J Stout, and
G Skipper
January 1990,
Surgical endoscopy,
M V Sivak, and
D J Stout, and
G Skipper
August 1984,
Arizona medicine,
M V Sivak, and
D J Stout, and
G Skipper
February 1983,
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