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Endoscopic Varicealography During Endoscopic Injection Sclerotherapy (EVIS)

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Clinical Investigation of Portal Hypertension

Abstract

Endoscopic varicealography (or varicography) during endoscopic injection sclerotherapy is a retrograde venography as described in Chap. 23 “Takase method” of endoscopic injection sclerotherapy for esophagogastric varices. Excessive injection of 5% ethanolamine oleate with iopamidol (5%EOI) causes portal thrombosis, renal dysfunction, or lung congestion. The flow of the sclerosant is monitored by varicealography. The amount of 5% EOI can be controlled either by visualizing the filling of supply route or visualizing paraesophageal, inferior phrenic, or mediastinal veins.

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Acknowledgments

I thank Dr. Niranjan Sharma PhD, Mornington Health Center Dunedin, New Zealand, for helpful comments.

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Chikamori, F., Takase, Y. (2019). Endoscopic Varicealography During Endoscopic Injection Sclerotherapy (EVIS). In: Obara, K. (eds) Clinical Investigation of Portal Hypertension. Springer, Singapore. https://doi.org/10.1007/978-981-10-7425-7_14

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  • DOI: https://doi.org/10.1007/978-981-10-7425-7_14

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-7424-0

  • Online ISBN: 978-981-10-7425-7

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