| Esophageal perforation after fiberoptic variceal sclerotherapy. | |
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MedLine Citation:
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PMID: 3497189 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Our experience and review of the literature suggests that perforation follows fiberoptic sclerotherapy at an incidence of 1-6% per patient. Perforation is delayed for 2-14 days after the procedure and is due to chemical necrosis of the esophageal wall. The risk of perforation is higher in Child's class C patients. The use of large volumes or high concentrations of sclerosant may increase the risk of perforation. To reduce this risk, we suggest a cautious approach to Child's class C patients, with no more than two sclerosis sessions during the first 2 weeks of treatment using less than or equal to 10 ml of 1.5% sodium tetradecyl sulfate per session. |
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Authors:
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L E Perino; C F Gholson; J S Goff |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of clinical gastroenterology Volume: 9 ISSN: 0192-0790 ISO Abbreviation: J. Clin. Gastroenterol. Publication Date: 1987 Jun |
Date Detail:
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Created Date: 1987-08-31 Completed Date: 1987-08-31 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 7910017 Medline TA: J Clin Gastroenterol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 286-9 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Esophageal Perforation / etiology* Esophageal and Gastric Varices / therapy* Esophagoscopy / adverse effects* Female Fiber Optic Technology Gastrointestinal Hemorrhage / therapy* Humans Male Middle Aged Sclerosing Solutions / therapeutic use* |
| Chemical | |
Reg. No./Substance:
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0/Sclerosing Solutions |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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