How To Prevent And Treat Portal Hypertension
Endoscopic Therapy
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If the patient has variceal bleeding, which occurs in the esophagus, endoscopic therapy intervention is usually done first. One procedure involves banding blood vessels to stop the bleeding and get rid of the varices. Banding the blood vessels that are bulging will cut off the blood flow and will create a small ulceration, which will heal quickly. This is a safe procedure for the esophagus because it does not cause any damage. If the banding does not work, the doctor may try sclerotherapy, which involves injecting a blood-clotting solution where the varices are bleeding to stop the bleeding. This solution can be injected directly into the varices, creating a clot, or right next to the varices. This will cause a bulging effect that will cut off the blood flow. Both methods have the chance of being needed more than one time. New varices may present themselves, and the process may need to be repeated.
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