[Endoscopical findings and therapeutic decision in osteomyelosclerosis associated with portal hypertension and bleeding from esophageal varices (author's transl)]

Abstract

Portal hypertension with hemorrhage from esophageal varices is a rare complication of osteomyelosclerosis; therapy is controversial. Hemostasis could be achieved in two patients by sclerozising the esophageal wall. In one of these cases hemorrhage could not be stopped on several occasions in the past by medical means; in the other patient the spleen had been removed. The patient without surgery did rather well and was in a better clinical condition than the other one; we therefore recommend to use splenectomy and splenorenal shunting in this disease rather cautiously.