A TRIAL OF SIMULTANEOUSLY COMBINED METHOD OF ENDOSCOPIC SCLEROTHERAPY AND ENDOSCOPIC LIGATION FOR ESOPHAGEAL VARICES

Abstract

We developed a new technique of endoscopic injection sclerotherapy combined with variceal ligation for treatment of esophageal varices. In this technique, taking an advan-tage of two channel endoscope, an injection needle and a device of endoscopic variceal ligation were inserted to each of the two channels. After intravariceal injection of 5% ethanolamine oleate, the esophageal varix at the site of injection was ligated while the injection needle was stuck onto the varix. This method prevented bleeding after injection sclerotherapy perfectly without balloon tamponade. Moreover, variceal ligation just after sclerotherapy may prolong a period of stagnation of ethanolamine oleate in the varix, resulting in enhancement of therapeutic effects.