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Abstract Management of variceal hemorrhage remains controversial and often has disappointing results (Larson et al., 1986). Endoscopic sclerotherapy has become the method of choice for the hemostasis and prevention of variceal hemorrhage (Paquet and Pleig 1981 & Sarin et al., 1987). Endoscopic in:jection sclerotherapy gives an apparent control rate of 80 — 90% in acute variceal hemorrhage, it seems that the entire management of portal hypertension and bleeding oesophageal varices has fallen into the hands of endoscopists and that surgeon unless himself an endoscopist had little part to play (Robert Sheilds, 1991) In (1983) Pleig et al., succeeded to control 92% of cases of bleeding varices not responding to balloon tamponade using endoscopic sclerotherapy. Endoscopic scierotherapy, unlike balloon tamponade and pharmacotherapy, decrease the early rebleeding rate. |