| Side effects of varical therapy |
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One week after endoscopic variceal
ligation
(EVL). The
varices
are still strangulated by the elastic O- rings
and become necrotic.
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Some days further on the necrotic
tissue has fallen off, leaving behind
superficial ulcerations healing quickly
thereafter.
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As
a complication of endoscopic
variceal sclerotherapy
(EVS)
a
mucosal pouch has developed.
Retention of solid food or
possible perforation in case
of blind endoscopic passage are
potential dangers. Retention of
tablets can lead to mucosal,
erosive lesions. |
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After numerous
ligations of quickly recurring, high grade varices a relative
stenosis at the esophago- cardial junction has developped. The
esophagus
has partly turned into a rigid tube. Presently there are no
recurring varices.
In case of recurring varices further endoscopic varical
ligation is expected
to be extremely difficult, since fibrous tissue is specially
resistent to suction.
|
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In this case apart
from relative stenosis after multiple endoscopic varical
ligations for bleeding varices flat ulcerations and
inflammatory changes
have developped.
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Side effects of therapy