such as morrhuate sodium can be injected into the GJ aperture, inciting an inflammatory reaction with edema and subsequent fibrosis, thus reducing stoma diameter.
Pascarella L, Bergan JJ, Yamada C et al (2005) Venous angiomata: treatment with sclerosant
Sclerotherapy is the targeted elimination of small vessels, varicose veins and vascular anomalies by injection of a sclerosant
19) ,28,33,34 Operators are cautioned when using high amount of outflow occlusion as sclerosant
can reflux into the arterial system if injected too quickly.
Infusion of a sclerosant
causes an inflammatory reaction leading to fibrosis, which then prevents balloon re-expansion.
There is evidence that continuation of PD may be beneficial as the dialysate itself could act as a sclerosant
by promoting "sealing" of the epithelial layers.
Other options are Endo clips, Thermo coagulation, Sclerosant
injection, and Alcohol injection and laser therapy.
Some authors consider OPK as a consequence of a sclerosant
or a fibroproliferative disorder .
According to reported literatures, the rationale for the use of foam sclerosing agents was replacement of blood by the sclerosing foams and to ensure that the sclerosant
may get in close contact with the venous intima [16-18].
Figure 6 shows the x- ray of the patient just prior to injection of the sclerosant
(24 months after the last surgery).
Other treatment modalities consist of ligation and excision, artificial ulceration, electrolysis and thermocautery, sclerosant
therapy, radiation and compression depending on the clinical features and the anatomic considerations.
Sclerotherapy utilizes a very fine needle to inject a solution, known as a sclerosant
, into the varicose or "spider vein.