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Updated: Jun 4, 2026

Underwater Endoscopic Injection Sclerotherapy for Gastroesophageal Varices

Underwater Endoscopic Injection Sclerotherapy for Gastroesophageal Varices

Published on: August 1, 2025

[Foam sclerotherapy].

Bernhard Partsch¹

¹bernhard.partsch@aon.at

Therapeutische Umschau. Revue Therapeutique

|March 2, 2011

Summary

Leg ulcers caused by varicose veins often resist healing. Foam sclerotherapy offers a safe alternative to surgery for eliminating venous reflux, potentially accelerating ulcer healing.

Area of Science:

Vascular Surgery
Dermatology
Phlebology

Context:

Leg ulcers frequently stem from varicose veins, exhibiting poor spontaneous healing.
Compression therapy, while standard, achieves suboptimal healing rates (70-80%) within six months.
Surgical reflux elimination is often avoided in ulcer patients due to age, comorbidities, and infection risks.

Purpose:

To evaluate foam sclerotherapy as a viable alternative to surgery for treating superficial venous reflux in patients with leg ulcers.
To assess the efficacy of foam sclerotherapy in accelerating the healing of venous leg ulcers.

Summary:

Foam sclerotherapy provides a minimally invasive method to address superficial venous reflux, a common cause of recalcitrant leg ulcers.
Unlike surgery, this procedure can be safely performed even in elderly patients with comorbidities or those with active ulcers.

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It offers a promising approach to improve healing rates and reduce treatment duration for venous leg ulcers.

Impact:

Foam sclerotherapy presents a valuable, less invasive treatment option for venous leg ulcers, potentially improving patient outcomes.
This technique may broaden treatment accessibility for patients previously ineligible for surgical intervention.
Accelerated ulcer healing and reduced recurrence rates are anticipated benefits, enhancing quality of life.