Esophageal Variceal Injection
(Sclerotherapy for Esophageal Varices; Endoscopic Sclerotherapy)
Reasons for Procedure
- Painful swallowing
- Esophageal narrowing
- Esophageal damage
- 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 medicines 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 medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as clopidogrel or warfarin
- Your throat may be sprayed with a medicine to make it numb.
- You will be given IV medicines 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 medicines, unless told otherwise by your doctor.
- If you stopped your medicine 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
Feldman M, Friedman LS, Sleisenger MH. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease . 7th ed. Philadelphia, PA: Saunders; 2002.
Gastroesophageal varices. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 19, 2012. Accessed March 20, 2013.
Sherlock S, Dooley J. Diseases of the Liver and Biliary System . 11th ed. Oxford, UK: Blackwell Science; 2002.
Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery . 17th ed. Philadelphia, PA: Saunders; 2004.
Yamada T. Textbook of Gastroenterology . 4th ed. Philadelphia, PA: Lippincott, Williams, and Wilkins; 2003.
Zakim D, Boyer TD. Hepatology . 4th ed. Philadelphia, PA: Saunders; 2003.
- Reviewer: Daus Mahnke, MD
- Review Date: 09/2012 -
- Update Date: 03/20/2013 -
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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