Abstract
We comparatively investigated the clinical evaluation of endoscopic variceal ligation (EVL) with 18 cases and endoscopic injection sclerotherapy (EIS) with 58 cases.
Nine cases underwent EVL and another 9 cases required additional EIS besides EVL. The amount of 5% ethanolamine oleate (EO) used was 50.4 ml in individual EIS, and 11.5 ml in a combination of EIS with EVL, and there were 2 cases with chest pain, 1 case with abdominal pain and 3 cases with hemorrhage as side effects. Among these side effects, 2 cases with hemorrhage were caused by unfitted O-ring and 1 case with hemorrhage was caused by vomiting in inserting a sliding tube. There were no cases of fever, liver dysfunction or renal dysfunction.
In conclusion, the amount of EO can be reduced through a combination of EIS with EVL in spite of no shortening of the treatment period. An effective case is enough with only EVL, but a poorly effective case with EVL should require additional EIS. Although side effects of EVL are minimal, it should be careful of hemorrhage.
