Abstract
Endoscopic injection sclerotherapy (EIS) is an established standard t reatment for esophageal varices 1, 2; however, EIS entails complicated manipulation. Endoscopic variceal ligation (EVL) ~-5 has been increasingly performed because of the safety and simplicity of the technique because no sclerosant is used. To accomplish rapid eradication of the varices and prevent recurrence, a technique that combines EVL and EIS has also been performed. 6, 7 For more effective and simple EIS, we developed a method that simultaneously combines EVL and EIS (endoscopic injection sclerotherapy with ligation: EISL). EIS was performed after application of the EVL device, and EVL was performed (including the injection site) immediately after infusion of the sc]erosant. This technique may be more effective because of better sclerosant effect after interruption of blood flow s and the absence of bleeding after removal of the needle.
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