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Published on: November 15, 2024
[The endoscopic sclerotherapy of esophageal varices in children]
G Aprodu1, D Goţia, S Gavrilescu
1Spitalul Clinic de Copil Sfânta Maria, Clinica de Chirurgie Pediatrică, Iaşi.
Insights
Injection sclerotherapy effectively treats esophageal varices in children, particularly for chronic conditions. This method helps manage bleeding and delays necessary surgeries until the child is older.
Area of Science:
- Gastroenterology
- Pediatric Surgery
Context:
- Esophageal varices pose a significant bleeding risk in children.
- Acute bleeding from esophageal varices requires prompt intervention.
Purpose:
- To evaluate the long-term efficacy and safety of injection sclerotherapy for pediatric esophageal varices.
- To establish injection sclerotherapy as a standard treatment for managing esophageal varices in children.
Summary:
- Injection sclerotherapy involves injecting a sclerosing agent into and around dilated esophageal veins.
- The procedure is performed in both emergency and chronic settings for bleeding varices.
- Authors report extensive experience with this method since 1992 at Children's Hospital of Iaşi.
Impact:
- Injection sclerotherapy provides a valuable, less invasive treatment option for pediatric esophageal varices.
- This technique allows for the postponement of more invasive decompressive procedures, enabling treatment at an optimal age.
Abstract:
The injection sclerotherapy of esophageal varices is an important path in the treatment of acute bleeding. This procedure is carried out either in emergency conditions concerning bleeding varices or in the chronic status, the sclerotic drug being injected into and round the dilated infraesophageal veins. This study shows the authors' experience beginning with 1992; since then, at Children's Hospital of Iaşi the injection sclerotherapy has become an usual method in the management of the oesophageal varices, especially in the chronic status. This method turns out to be very useful, because nu matter the etiology would be, allows the postponement of decompressive procedures until the child has a proper age.
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