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The obsolence of sclerotherapy.

08:00 EDT 13th July 2019 | BioPortfolio

Summary of "The obsolence of sclerotherapy."

I read with great interest the recent practice guidance on development of quality measures in cirrhosis (1). I commend the authors for producing a set of measures which will enable healthcare professionals and service providers to evaluate quality of care and drive improvement. I am, however, somewhat concerned by the inclusion of sclerotherapy in their process measure 11, "patients with cirrhosis who are found to have bleeding esophageal varices should receive EVL or sclerotherapy at the time of index endoscopy" (1). This article is protected by copyright. All rights reserved.

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Name: Hepatology (Baltimore, Md.)
ISSN: 1527-3350
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Medical and Biotech [MESH] Definitions

Treatment of varicose veins, hemorrhoids, gastric and esophageal varices, and peptic ulcer hemorrhage by injection or infusion of chemical agents which cause localized thrombosis and eventual fibrosis and obliteration of the vessels.

A type of surgical portasystemic shunt to reduce portal hypertension with associated complications of esophageal varices and ascites. It is performed percutaneously through the jugular vein and involves the creation of an intrahepatic shunt between the hepatic vein and portal vein. The channel is maintained by a metallic stent. The procedure can be performed in patients who have failed sclerotherapy and is an additional option to the surgical techniques of portocaval, mesocaval, and splenorenal shunts. It takes one to three hours to perform. (JAMA 1995;273(23):1824-30)

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Hepatology is the study of liver, gallbladder, biliary tree, and pancreas, and diseases associated with them. This includes viral hepatitis, alcohol damage, cirrhosis and cancer. As modern lifestyles change, with alcoholism and cancer becoming more promi...

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