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 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, like:
- Aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs)
- Blood thinners
- 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.php. 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.
- Reviewer: Daus Mahnke, MD; Brian Randall, MD
- Review Date: 07/2013 -
- Update Date: 00/71/2013 -