Injection sclerotherapy for oesophageal varices in children

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Abstract
Oesophageal varices in 21 children with portal hypertension (intrahepatic 13, extrahepatic 8) were treated with sclerotherapy using ethanolamine oleate injected via a fibreoptic endoscope. Repeat endoscopy confirmed variceal obliteration in 18 children with a mean of 3·5 (range 1–8) injections. No patient has bled since obliteration of varices. Complications were oesophageal stricture (2 patients), oesophageal ulcer (5 patients) and haemorrhage within 30 days of injection (5 patients). The early results suggest that this is a satisfactory method for the treatment of oesophageal varices in children.