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Endoscopic Varicealography During Endoscopic Injection Sclerotherapy (EVIS)

  • Fumio Chikamori
  • Yasuhiro Takase
Chapter

Abstract

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.

Keywords

Endoscopic varicealography during endoscopic injection sclerotherapy Esophagogastric varices 

Notes

Acknowledgments

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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