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[Endoscopic sclerotherapy of esophageal varices in pediatric patients]
A Salvatierra1, L Granella, M L Guevara
1Unidad de Gastroenterologia Pediátrica, Hospital Universitario Dr. Angel Laralde, IVSS, Universidad de Carabobo, Valencia.
Insights
Endoscopic sclerotherapy effectively treats esophageal varices in children, reducing or eliminating variceal veins. This procedure shows promise for controlling and preventing bleeding in pediatric patients.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Interventions
- Hepatology
Context:
- Esophageal varices are a serious complication in children with portal hypertension.
- Cavernomatous portal degeneration and hepatic cirrhosis are common causes.
- Effective management strategies are crucial for preventing life-threatening bleeding.
Purpose:
- To evaluate the efficacy and safety of endoscopic sclerotherapy for esophageal varices in pediatric patients.
- To assess the reduction or disappearance of variceal veins using intra- and perivariceal ethanolamine oleate injection.
- To determine the procedure's potential for controlling acute bleeding and preventing recurrence.
Summary:
- Seven children (18 months to 11 years) with esophageal varices underwent endoscopic sclerotherapy.
- Five patients had cavernomatous portal degeneration, and two had hepatic cirrhosis.
- Intra- and perivariceal ethanolamine oleate injections led to decreased or disappeared variceal veins.
- Two patients experienced transient retrosternal pain and fever post-procedure.
Impact:
- Endoscopic sclerotherapy is a viable option for managing esophageal varices in children.
- The procedure demonstrates effectiveness in controlling acute variceal bleeding.
- It offers a potential method for preventing future bleeding episodes in pediatric populations.
- This preliminary report supports further investigation into endoscopic sclerotherapy for pediatric esophageal varices.
Abstract:
Endoscopic sclerotherapy was performed for esophageal variceal sclerosis in 7 children, aged 18 months to 11 years. Five of them had cavernomatous portal degeneration and the other two hepatic cirrhosis. The technique used was intra- and perivariceal with ethanolamine oleate in order to get the decrease or disappearance of the variceal veins. Two of the patients showed retrosternal pain and fever after the sclerosis procedure. This preliminary report shows that endoscopic sclerosis of esophageal varices is a good procedure to control acute bleeding and to prevent its onset in children.