Endoscopic sclerotherapy of esophageal varices is riding a tidal wave of enthusiasm for treatment of both acutely bleeding and chronic esophageal varices. This work brings together 14 internationally known experts in the field under the banner of the Tenth Cleveland Clinic Symposium on Gastrointestinal Endoscopy.
The book is divided into two sections. The first half explores background topics such as the natural history of variceal bleeding, reviews and updates current medical and surgical therapy, and contains two chapters devoted to the important topic of esophageal varices in children. The second section attempts to bring perspective to controversies in endoscopic sclerosis that remain unresolved. Questions yet unanswered include "What is the optimum technique?"—intravariceal injection v paravariceal injection—"What is the proper sclerosing agent?" "What is the optimal timing of endoscopic sclerosis in both the acute and chronic setting?" and "Can endoscopic sclerosis serve as a useful adjunct to definitive shunting operations?"