Two cases of bleeding by rupture of esophageal varices due to portal hypertension treated by sect-anastomosis by using EEA with good result was presented. With the simplicity of technique, the author hopes that technique will be applied to the severe condition of the patients.
Sclerotherapy ; Esophageal and Gastric Varices

From Nov, 2000 to Nov, 2001, 52 thoracic sympathetectomy were operated by endoscopic Electro-coagulation in Surgical Dep. of Bach Mai hospital. They included 51 palmer hyperhydrosis and 1 pain due to chronic pancreatitis calculi. The good result reached 96% with no severe complications, only 1 hemothorax and 2 pneumothorax. The mean value of duration of treatment was 4.3 days.
Ganglia, Sympathetic ; Sympathectomy

Raw or undercooked fish dishes are the major sources of human infection of fishborne trematodes (FBT) and the situation of metacercarial infection in fish greatly affect the prevalence in humans, especially those fish that are commonly used for raw consumption. To investigate the situation of infection with metacercaria of FBT in fish often used to prepare raw fish dishes by local people to assess the risk of infection to humans in Ninh Binh province, Vietnam. 345 fish belonging to five species of freshwater and one species of brackish water fish were collected from fishermen or small-scale fish dealers in Kim Son and Yen Khanh districts, Ninh Binh province between May 2017 and May 2018. Metacercaria of FBT was discovered by pepsin and hydrochloric acid digestion techniques and identified by the morphological and molecular analysis. Among examined fish, 44.06% infected with FBT metacercaria and the highest prevalence was in Cyprinus carpio (86.54%), Ctenopharyngodon idellus (78.43%) and Hypophthalmichthys molitrix (66.67%) while Konosirus punctatus – the brackish water fish – were free from infection. Three species of FBT were found; namely Haplorchis pumilio (accounting for 99.84% of collected metacercariae), Haplorchis taichui and Clonorchis sinensis. The average density was 1.06 metacercariae per gram of freshwater fish and the highest number was of C. idellus (6.38 cysts/gram) followed by Cirrhinus molitorella and C. carpio. Results of the study show the high prevalence of infection of FBT metacercariae among freshwater fish often used to prepare raw fish dishes in Ninh Binh province. These findings suggest the need for greater awareness of the risk from raw fish dishes among public health authorities and people.