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Dysphagia after endoscopic treatment of oesophageal varice

Journal Volume 79 - 2016
Issue Fasc.4 - Clinical images
Author(s) Marco Silva, Susana Lopes, Armando Ribeiro, Armando Peixoto, Guilherme Macedo
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Department of Gastroenterology, Centro Hospitalar São JoãO. Faculty of Medicine of the University of Porto. PortO. Portugal.

A 71-year-old male, with alcoholic liver cirrhosis and portal hypertension, presented with hematemesis. He had a history of previous episodes of esophageal varices bleeding that were treated with endoscopic variceal sclerotherapy (EVS), few years before presentation. The esophagogastroduodenoscopy confirmed an acute bleeding from a ruptured esophageal varice. Emergent variceal band ligation (EVL) was attempted but could not control the bleeding. Then we decided to perform EVS with intravariceal injection of 8ml of 1% polidocanol solution, with successful hemostasis. After 24 hours of this apparently uneventful emergent endoscopic technique, the patient complained of retrosternal pain and dysphagia and had another episode of hematemesis. An esophagoscopy was performed revealing the findings shown on Fig. 1.

© Acta Gastro-Enterologica Belgica.
PMID 28209118