Type of Surgery

Information

Last updated: 02/17/2009

Resources

BOOKS

Belcaro, G., and G. Stansby. The Venous Clinic: Diagnosis,Prevention, Investigations, Conservative and Medical Treatment, Sclerotherapy and Surgery. River Edge, NJ: World Scientific Pub. Co., 1999.

Green,...

Frederick L., and Jeffrey L. Ponsky, eds. "Endoscopic Management of Esophageal Varices." In Endoscopic Surgery. Philadelphia: W. B. Saunders Co., 1994.

Sadick, N. S. Manual of Sclerotherapy. Philadelphia: Lippincott, Williams & Wilkins, 2000.

Shearman, David J. C., et al., eds. "Endoscopy" and "Gastrointestinal Bleeding." In Diseases of the Gastrointestinal Tract and Liver. New York: Churchill Livingstone, 1997.

Yamada, Tadataka, et al., eds. "Endoscopic Control of Upper Gastrointestinal Variceal Bleeding." In Textbook of Gastroenterology. Philadelphia: J. B. Lippincott Co., 1995.

PERIODICALS

Dhiman, R. K., and Y. K. Chawla. "A new technique of combined endoscopic sclerotherapy and ligation for variceal bleeding."World Journal of Gastroenterology 9 (May 2003): 1090–1093.

Mahesh, B., S. Thulkar, G. Joseph, A. Srivastava, and R. K. Khazanchi. "Colour duplex ultrasound-guided sclerotherapy. A new approach to the management of patients with peripheral vascular malformations."Clinical Imaging 27 (May-June 2003): 171–179.

Miyazaki, K., T. Nishibe, F. Sata, T. Imai, F. A. Kudo, J. Flores, Y. J. Miyazaki, and K. Yasuda. "Stripping Operation with Sclerotherapy for Primary Varicose Veins Due to Greater Saphenous Vein Reflux: Three-Year Results."World Journal of Surgery 27 (May 2003): 551–553.


ORGANIZATIONS

Society of American Gastrointestinal Endoscopic Surgeons (SAGES). 2716 Ocean Park Boulevard, Suite 3000, Santa Monica, CA 90405. (310) 314-2404. .


OTHER

SAGES: The Role of Endoscopic Sclerotherapy..



 
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Other Information

Sclerotherapy for esophageal varices (also called endoscopic sclerotherapy) is a treatment for esophageal bleeding that involves the use of an endoscope and the injection of a sclerosing solution into veins.

Sclerotherapy for esophageal varices is performed by a physician in a hospital, with the patient awake but sedated. Hyoscine butylbromide (Buscopan) may be administered to freeze the esophagus, making injection of the sclerosant easier. During the procedure, an endoscope is passed through the patient's mouth to the esophagus to view the inside. The branches of the blood vessels at or just above where the stomach and esophagus come together, the usual site of variceal bleeding, are located. After the bleeding vein is identified, a long, flexible sclerotherapy needle is passed through the endoscope. When the tip of the needle's sheath is in place, the needle is advanced, and the sclerosant is injected into the vein or the surrounding area. The most commonly used sclerosants are ethanolamine and sodium tetradecyl sulfate. The needle is withdrawn. The procedure is repeated as many times as necessary to eradicate all distended veins.


From http://www.answers.com/topic/sclerotherapy-for-esophageal-varices

Other Information

Biliary colic is the presenting symptom in 80% of patients with gallstone disease who seek medical care; however, only 10-20% of all individuals with gallstones experience severe gallstone pain.


From: eMedicine

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