[Therapy strategy in bleeding esophageal varices]

In the therapeutic regimen in the haemorrhage of the oesophageal varices the sclerotherapy part from measures for the combat against shock and prophylaxis of the liver coma occupies a central position both for control of haemorrhage and for avoiding recidivations of haemorrhages. Advantages of the method are the relatively good efficacy, the small rate of serious complications and a relatively good practicability. Furthermore, liver function, portal circulation and course of the in most cases underlying liver cirrhosis are not negatively influenced. On the basis of the hiherto got experiences the value of the prophylactic sclerosation of oesophageal varices before a bleeding cannot yet be reliably assessed.