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Updated: Aug 13, 2026

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
Published on: June 13, 2025
[Endoscopic therapy of esophageal varices. An evaluation of the current status]
1Medizinische Klinik, Allgemeine Innere Medizin, Rheinischen Friedrich-Wilhelms-Universität Bonn.
Abstract:
Endoscopy plays a major role for the treatment of acute esophageal variceal bleeding. As concerns prophylaxis of rebleeding endoscopic treatment should be balanced against a shunt procedure (open surgical procedure or intrahepatic stent) or drugs (e.g. propranolol), respectively. Sclerotherapy may be replaced by endoscopic ligation in the near future, at least for the treatment of large varices, since ligation has less adverse effects. Prophylaxis of first bleeding by endoscopic measures is not generally recommended.
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