Endoscopic Varicealography During Endoscopic Injection Sclerotherapy (EVIS)

  • Fumio Chikamori
  • Yasuhiro Takase


Endoscopic varicealography (or varicography) during endoscopic injection sclerotherapy is a retrograde venography as described in Chap.  23 “Takase method” of endoscopic injection sclerotherapy for esophagogastric varices. Excessive injection of 5% ethanolamine oleate with iopamidol (5%EOI) causes portal thrombosis, renal dysfunction, or lung congestion. The flow of the sclerosant is monitored by varicealography. The amount of 5% EOI can be controlled either by visualizing the filling of supply route or visualizing paraesophageal, inferior phrenic, or mediastinal veins.


Endoscopic varicealography during endoscopic injection sclerotherapy Esophagogastric varices 



I thank Dr. Niranjan Sharma PhD, Mornington Health Center Dunedin, New Zealand, for helpful comments.


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Fumio Chikamori
    • 1
  • Yasuhiro Takase
    • 2
  1. 1.Department of SurgeryTano HospitalKochiJapan
  2. 2.Department of SurgeryTsukuba Soai HospitalIbarakiJapan

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