Sclerosis of oesophageal varices in children with portal hypertension
Höpner, F.
Chirurgie Pediatrique 23(3): 184-189
1982
ISSN/ISBN: 0180-5738 PMID: 7083443 Document Number: 185751
Results of treatment of oesophageal varices in children with portal hypertension, employing sub-mucous sclerosing injections, are reported. Indications for this type of therapy are of three types : acute haemorrhage, preparation for a shunt operation, and single treatment when hepatic function is such that a portocaval shunt will probably not be successful. The technique employed involves both injection of the varices, and injections into the oesophageal submucosa in order to sclerose the wall vessels. The choice between a rigid and flexible apparatus is discussed. The advantages and inconveniences of this method are illustrated by the results obtained in 16 patients. Complications are exceptional, and the technique appears to be extremely beneficial in many cases.