식도정맥류 (食道靜脈瘤) 근절에 (根絶) 대한 내시경적 (內視鏡的) 경화요법과 (硬化療法) Propranolol 의 병합요법 (倂合療法)

Esophageal Variceal bleeding due to portal hypertension is very emergency state and difficult for management. In spite of many kinds of treatment in esophageal variceal bleeding such as medical and surgical method, but can't be expected of good results especially in Childs B & C groups. Crafoord and Frenckner introduced Endoscopic Injection Sclerotherapy in esophageal varical bleeding since 1939, its good effect are reported in many institute recently. Lebrec and Fleishman reported that propranolol is significantly decreased portal venous pressure in 1980. In order to prevent for rebleeding of esophageal varices and eradication of esophageal varices, we tried that combined therapy of endoscopic injection sclerotherapy and propranolol for over 6 months in 7 patients of Esophageal varices bleeding. Endoscopic Injection Sclertherapy is performed every week for 6 months and propranolol is 80-120 mg/day over 6 months per oral route. So, we have possibility that above combined therapy prevents rebleeding & eradicates esophageal varices.