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Endoscopic injection sclerotherapy for esophagogastric variceal bleeding in children with biliary atresia.

AbstractBACKGROUND/AIMS:
To determine the safety and effectiveness of endoscopic injection sclerotherapy (EIS) for children with biliary atresia.
METHODOLOGY:
Subjects were 7 patients with biliary atresia with esophagogastric varices and variceal bleeding. Intravariceal injection using 5% ethanolamine oleate was performed under fluoroscopy until varices were eradicated.
RESULTS:
Endoscopic examination revealed that bleeding occurred in the junctional gastric varices in most of the cases. The mean number of EIS sessions required for obliteration of the varices was 2.3. In the observation period (mean: 21 months), recurrent esophagogastric varices occurred in 2 patients. One had variceal bleeding that was treated successfully by additional EIS. There were no severe complications associated with EIS.
CONCLUSIONS:
EIS under fluoroscopy was safe and effective for variceal bleeding in children with biliary atresia.
AuthorsH Horigome, T Nomura, K Saso, T Hashimoto, T Suzuki, T Joh, H Ohara, S Akita, S Sobue, Y Mizuno, Y Kato, H Ohmi, M Itoh
JournalHepato-gastroenterology (Hepatogastroenterology) 1999 Nov-Dec Vol. 46 Issue 30 Pg. 3060-2 ISSN: 0172-6390 [Print] Greece
PMID10626160 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Oleic Acids
  • Sclerosing Solutions
  • ethanolamine oleate
Topics
  • Adolescent
  • Biliary Atresia (complications, surgery)
  • Child
  • Child, Preschool
  • Esophageal and Gastric Varices (complications, therapy)
  • Esophagoscopy
  • Female
  • Fiber Optic Technology
  • Gastrointestinal Hemorrhage (complications, therapy)
  • Humans
  • Injections, Intralesional
  • Male
  • Oleic Acids (administration & dosage)
  • Retrospective Studies
  • Sclerosing Solutions (administration & dosage, therapeutic use)
  • Sclerotherapy (methods)

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