Table of Contents Author Guidelines Submit a Manuscript
Canadian Journal of Gastroenterology
Volume 12, Issue 5, Pages 347-350
http://dx.doi.org/10.1155/1998/854293
Endoscopy

Asymptomatic Esophageal Varices Should Be Endoscopically Treated

Nib Soehendra

Department of Endoscopic Surgery, University Hospital Eppendorf, Hamburg, Germany

Copyright © 1998 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Endoscopic treatment has generally been accepted in the management of bleeding esophageal varices. Both the control of acute variceal bleeding and elective variceal eradication to prevent recurrent bleeding can be achieved via endoscopic methods. In contrast to acute and elective treatment, the role of endoscopic therapy in asymptomatic patients who have never had variceal bleeding remains controversial because of the rather disappointing results obtained from prophylactic sclerotherapy. Most published randomized controlled trials showed that prophylactic sclerotherapy had no effect on survival. In some studies, neither survival rate nor bleeding risk was improved. In this article, the author champions the view that asymptomatic esophageal varices should be endoscopically treated.