Pathological Changes of Esophagogastric Varices After Endoscopic Sclerotherapy

  • Susumu Shibuya
  • Yasuhiro Takase
  • Niranjan Sharma


In cases where gastric varices are contiguous with esophageal varices, it has been reported that most of the feeders of the esophagogastric varices are the left gastric vein and/or the short gastric veins [1, 2]. It was thought that the gastric varices are residual varices that sometimes become larger after the treatment of esophageal varices alone by injection sclerotherapy. Simultaneous obliteration of the gastric and the esophageal varices were obtained, when the sclerosant was intravariceally injected into their feeders during treatment for esophageal varices. At times, a histopathological study of esophagogastric variceal changes is not enough to predict the final outcome of the sclerotherapy. Therefore, the present study was carried out in an attempt to elucidate the pathological course of the esophagogastric varices after injection sclerotherapy.


Portal Hypertension Hepatic Failure Esophageal Varix Biliary Atresia Gastric Varix 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Smith-Laing G, Camil E, Dick R, Sherlick S (1980) Percutaneous transhepatic portography in the assessment of portal hypertension. Gastroenterology 78: 197–205PubMedGoogle Scholar
  2. 2.
    Watanabe K, Kimura K, Matsutani S, Ohto M, Okuda K (1988) Portal hemodynamics in patients with gastric varices. Gastroenterology 95: 434–440PubMedGoogle Scholar
  3. 3.
    Takase Y, Ozaki A, Orii K, Nagoshi K, Okamura T, Iwasaki Y (1982) Injection sclero-therapy of esophageal varices for patients undergoing emergency and elective surgery. Surgery 92: 474–479PubMedGoogle Scholar
  4. 4.
    Moersch H J (1947) Treatment of esophageal varices by injection of a sclerosing solution. JAMA 135: 754–746CrossRefGoogle Scholar
  5. 5.
    MacDougall BRD, Westaby D, Theodossi A, Dawson JL, Williams R (1982) Increased long-term survival in variceal haemorrhage using injection sclerotherapy. Lancet 1: 124–127PubMedCrossRefGoogle Scholar
  6. 6.
    Hennessy TP J, Stephen RB, Kaene FB (1982) Acute and chronic management of esophageal varices by injection sclerotherapy. Surg Gynecol Obstet 154: 374–377Google Scholar
  7. 7.
    Soderlund C, Ihre T (1985) Endoscopic sclerotherapy V: Conservative management of bleeding oesophageal varices. Acta Chir Scand 151: 449–456PubMedGoogle Scholar
  8. 8.
    Shemesh E, Czerniak A, Klein E, Pines A, Bat L (1990) A comparison between emergency and delayed endoscopic injection sclerotherapy of esophageal varices in non-alcoholic portal hypertension. J Clin Gastroenterol 12: 5–9PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Susumu Shibuya
  • Yasuhiro Takase
  • Niranjan Sharma
    • 1
  1. 1.Department of Surgery, Institute of Clinical MedicineUniversity of TsukubaTsukuba, 305Japan

Personalised recommendations