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Updated: Jul 16, 2026

Underwater Endoscopic Injection Sclerotherapy for Gastroesophageal Varices
Published on: August 1, 2025
Complications of sclerotherapy
Girish S Munavalli1, Robert A Weiss
1Dermatology, Laser, and Vein Specialists of the Carolinas, Charlotte, NC, USA. gmunava@yahoo.com
Sclerotherapy effectively eliminates varicose veins using a sclerosant injection. This article reviews common and rare complications, offering strategies to minimize risks during treatment.
Area of Science:
- Vascular Medicine
- Dermatology
- Minimally Invasive Procedures
Background:
- Sclerotherapy is a common treatment for varicose veins and telangiectasias.
- The procedure involves injecting a sclerosant to eliminate targeted veins.
- Complications, though infrequent, can occur and require careful management.
Purpose of the Study:
- To review common and rare complications associated with sclerotherapy.
- To discuss strategies for minimizing adverse events in clinical practice.
- To provide a classification of sclerotherapy-related complications.
Main Methods:
- Literature review of sclerotherapy complications.
- Categorization of complications into frequent/transient, rare/self-limited, and rare/major.
- Analysis of clinical management strategies for adverse events.
Main Results:
- Sclerotherapy complications are categorized for clarity.
- Common complications are typically transient.
- Rare complications can be self-limited or major, necessitating specific management.
Conclusions:
- Understanding and anticipating sclerotherapy complications is crucial.
- Implementing preventative measures can minimize adverse outcomes.
- Effective management strategies are essential for patient safety in sclerotherapy.
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