Document Detail

Esophageal perforation after fiberoptic variceal sclerotherapy.
MedLine Citation:
PMID:  3497189     Owner:  NLM     Status:  MEDLINE    
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.
L E Perino; C F Gholson; J S Goff
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical gastroenterology     Volume:  9     ISSN:  0192-0790     ISO Abbreviation:  J. Clin. Gastroenterol.     Publication Date:  1987 Jun 
Date Detail:
Created Date:  1987-08-31     Completed Date:  1987-08-31     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7910017     Medline TA:  J Clin Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  286-9     Citation Subset:  IM    
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MeSH Terms
Esophageal Perforation / etiology*
Esophageal and Gastric Varices / therapy*
Esophagoscopy / adverse effects*
Fiber Optic Technology
Gastrointestinal Hemorrhage / therapy*
Middle Aged
Sclerosing Solutions / therapeutic use*
Reg. No./Substance:
0/Sclerosing Solutions

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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