complications

Last reviewed 01/2018

In a minority of patients treated with endoscopic sclerotherapy for varices, the following complications may occur:

  • oesophageal ulceration:
    • may occur in the majority of patients
    • does not significantly increase the risk of rebleeding
  • oesophageal strictures:
    • occur in 3%
    • relieved by endoscopic dilatation
  • oesophageal perforation
    • occurs in 1-6% after about a week
  • chest pain or discomfort
  • fever: most resolve quickly
  • sepsis: rare enough for prophylactic antibiotics to be unwarranted
  • cardiovascular complications, e.g. bleeding from untreated varices and cardiac arrhythmias