Esophageal Variceal Injection
(Sclerotherapy for Esophageal Varices; Endoscopic Sclerotherapy)
Reasons for Procedure
- Painful or difficult swallowing
- Esophageal narrowing
- Esophageal damage
- Lung injury
- Bleeding disorder
- Active bleeding
- Increased age
- Heart or lung problems
What to Expect
Prior to Procedure
- Do not eat for 8 to 12 hours before the procedure.
- If you have diabetes , discuss your medications with your doctor.
- Arrange for transportation after the procedure. You should not drive for 24 hours after the procedure.
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
- Your throat may be sprayed with a medication to make it numb.
- You will be given IV medications to help you relax.
- If you have active bleeding, it may be necessary to use general anesthesia . You will be asleep.
Description of the Procedure
|Upper GI Endoscopy|
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How Long Will It Take?
How Much Will It Hurt?
- Do not drive for at least 24 hours.
- Rest the remainder of the day.
- Resume your normal diet, unless told otherwise by your doctor.
- Resume your medications, unless told otherwise by your doctor.
- If you stopped your medication before the procedure, ask your doctor when it is safe to start taking it again.
Call Your Doctor
- Signs of infection, including fever and chills
- Bleeding from the mouth
- Increasing pain
- Nausea and vomiting
- Bloody vomit
- Difficulty swallowing
- Cough, shortness of breath, or chest pain
- Bloody or dark black stools
- Severe abdominal pain
American Gastroenterological Association http://www.gastro.org
American Society for Gastrointestinal Endoscopy http://www.asge.org
Health Canada http://www.hc-sc.gc.ca
The Canadian Association of Gastroenterology (CAG) http://www.cag-acg.org
Berry PA, Wendon JA. The management of severe alcoholic liver disease and variceal bleeding in the intensive care unit. Curr Opin Crit Care . 2006;12:171-7.
Garcia-Tsao G, Sanyal AJ. Prevention and management of gastroesophageal varicies and variceal hemorrhage in cirrhosis. Am J Gastroenterol . 2007;102(9):2086-2102.
Gastroesophageal varices. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what. Updated May 13, 2013. Accessed July 12, 2013.
Technology Assessment Committee, Croffie J, et al. Sclerosing agents for use in GI endoscopy. Gastrointest Endosc . 2007;66(1):1-6. Park WG, Yeh RW. Injection therapies for variceal bleeding disorders of the GI tract. Gastrointest Endosc. 2008 Feb;67(2):313-23.
- Reviewer: Michael Woods, MD
- Review Date: 06/2014 -
- Update Date: 06/18/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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