Transhepatic obliteration of gastroesophageal varices with absolute ethanol.

Abstract
Absolute ethanol was evaluated as a vasoobliterative agent in 15 patients with bleeding of gastroesophageal varices. Initial control of hemorrhaging was obtained in 13 (87%). Two patients died from unrelated causes within 48 h of the procedure. Variceal bleeding recurred in 7 of the 11 remaining patients (64%) from 1 wk to 13 mo. after embolization. Four patients did not rebleed; 2 of them died (4 wk and 6 mo. after the procedure) and 2 are alive (14 and 16 mo. after the procedure). Significant disadvantages of ethanol for obliteration of gastroesophageal varices (marked prolongation of procedure time and lack of radioopacity) probably contributed to the high incidence of portal vein thrombosis (3 patients [20%]).

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