Endoscopy 1982; 14(1): 4-5
DOI: 10.1055/s-2007-1021560
© Georg Thieme Verlag KG Stuttgart · New York

Prophylactic Endoscopic Sclerosing Treatment of the Esophageal Wall in Varices - A Prospective Controlled Randomized Trial

K.J. Paquet
  • Department of Surgery, University of Bonn, Medical School, D-5300 Bonn 1, and Department of Surgery, Heinz Kalk-Klinik, D-8730 Bad Kissingen, W.Germany
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Publication History

Publication Date:
17 March 2008 (online)


From January 1, 1978 to January 1, 1980 a controlled randomized trial comparing conservative treatment with prophylactic sclerotherapy of esophageal varices prior to hemorrhage was carried out. In all 71 patients liver cirrhosis was histologically confirmed. The two randomly assigned groups were comparable. Indications of endoscopic treatment were the existence of varices III - IV bearing erosions, varices II - IV without erosions but coagulation factors below 30 %, or both. Six patients left the trial. In group la - treatment by conservative means - a high rate of variceal bleeding and death was observed. Comparing these results with those of group Ib treated by sclerotherapy, bleeding and death rates were found to be highly significantly lower. - Thus the investigated criteria for predicting a recent variceal hemorrhage are confirmed. Prophylactic sclerotherapy in esophageal varices with erosions and/or poor coagulation reserve of the liver can largely prevent an esophageal hemorrhage from varices, and prolongs the life of these chronically ill patients.