[A modified oesophagoscope for sclerotherapy of bleeding oesophageal varices (author's transl)]. 1980

G Brunner

A flexible oesophagoscope with a wide angle optic, an inflatable balloon and a slit at the tip of the instrument has been developed to facilitate the sclerosing of bleeding oesophageal varices. While until today most investigators use a rigid oesophagoscope under general anaesthesia for a better view of the oesophagus and the possibility of compressing the varix to prevent rapid disappearance of the sclerosing fluid, with the new "Scleroscope" a general anaesthesia is not necessary any more. The wide angle optic allows good view of the operational field. The inflated balloon widens the lumen and prevents an intravascular deposit of sclerosing fluid from disappearing before the therapist wants it to leave the varix. The balloon can further be used to stop bleeding occuring from the injection canal. The slit at the tip of the instrument allows to hold the swollen varix and to inject it longitudinally with little danger of perforating the injection needle through the varix into the oesophageal tissue or mediastinum. By adding contrast medium to the sclerosing fluid the filling of the varices can be observed under x-ray control. This way intravascular sclerosing of varices of the fundus can be achieved. First experience with this new instrument is encouraging; its use should make the application of the rigid instrument unnecessary.

UI MeSH Term Description Entries
D003287 Contrast Media Substances used to allow enhanced visualization of tissues. Radiopaque Media,Contrast Agent,Contrast Agents,Contrast Material,Contrast Materials,Radiocontrast Agent,Radiocontrast Agents,Radiocontrast Media,Agent, Contrast,Agent, Radiocontrast,Agents, Contrast,Agents, Radiocontrast,Material, Contrast,Materials, Contrast,Media, Contrast,Media, Radiocontrast,Media, Radiopaque
D004932 Esophageal and Gastric Varices Dilated blood vessels in the ESOPHAGUS or GASTRIC FUNDUS that shunt blood from the portal circulation (PORTAL SYSTEM) to the systemic venous circulation. Often they are observed in individuals with portal hypertension (HYPERTENSION, PORTAL). Esophageal Varices,Gastric Varices,Esophageal Varix,Gastric Varix,Varices, Esophageal,Varices, Gastric,Varix, Esophageal,Varix, Gastric
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012597 Sclerosing Solutions Chemical agents injected into blood vessels and lymphatic sinuses to shrink or cause localized THROMBOSIS; FIBROSIS, and obliteration of the vessels. This treatment is applied in a number of conditions such as VARICOSE VEINS; HEMORRHOIDS; GASTRIC VARICES; ESOPHAGEAL VARICES; PEPTIC ULCER HEMORRHAGE. Injections, Sclerosing,Sclerosant,Sclerosing Agent,Sclerosing Agents,Sclerosing Injection,Sclerosing Solution,Sclerosants,Sclerosing Drugs,Sclerosing Injections,Agent, Sclerosing,Agents, Sclerosing,Drugs, Sclerosing,Injection, Sclerosing,Solution, Sclerosing,Solutions, Sclerosing
D019723 Endoscopes Instruments for the visual examination of interior structures of the body. There are rigid endoscopes and flexible fiberoptic endoscopes for various types of viewing in ENDOSCOPY. Endoscope

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