Endoscopic ultrasound-guided injection of coils and cyanoacrylate glue for the treatment of gastric fundal varices with abnormal shunts: a series of case reports

The Journal of International Medical Research
XiaoMing WangLei Duan

Abstract

Gastric varices are found in approximately 20% of patients with portal hypertension. Endoscopic procedures involving the injection of cyanoacrylate (CYA) have proven to be the therapies of choice for primary treatment of gastric varices and have resulted in higher hemostasis rates and lower recurrent bleeding rates compared with band ligation and sclerotherapy. Nevertheless, serious adverse events associated with CYA injection, including glue embolization, have been reported in numerous articles and have occasionally led to fatal adverse events. Gastric fundal varices with abnormal shunts are higher-risk than those without abnormal shunts, and their treatment is more challenging. Endoscopic ultrasound (EUS)-guided puncture is an important technique in the field of digestive endoscopy. EUS has advantages that include improved therapeutic targeting, enhanced variceal detection, the ability to confirm varix obliteration with Doppler examination, and the ability to perform accurate observations of gastric varices that are not affected by blood in the stomach. The coils currently used for intravascular embolization can be precisely delivered into a varix through fine-needle puncture under EUS guidance, and this technique has provide...Continue Reading

References

Jan 1, 1996·Journal of Gastroenterology and Hepatology·H KanagawaK Okuda
Oct 2, 1998·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·I D NortonP S Kamath
Jul 24, 2007·Gastrointestinal Endoscopy·Rafael Romero-CastroJuan M Herrerias-Gutierrez
Nov 26, 2009·BMC Gastroenterology·Giovanni TarantinoVittorio Iaccarino
Dec 8, 2010·Journal of Clinical Gastroenterology·Shayan IraniRichard Kozarek
Jul 23, 2013·Gastrointestinal Endoscopy·Yasser M BhatSarah A Rodriguez
Jul 31, 2013·Gastrointestinal Endoscopy·Rafael Romero-CastroAnnette Fritscher-Ravens
Oct 15, 2013·Gastrointestinal Endoscopy·Michael J Levy, Louis M Wong Kee Song
Jul 4, 2015·Surgical Endoscopy·Larissa L Fujii-LauMichael J Levy

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Citations

Oct 8, 2020·Clinical Endoscopy·Dominic A StaudenmannPayal Saxena
Jan 4, 2021·Current Gastroenterology Reports·Sushrut Sujan Thiruvengadam, Alireza Sedarat
Jul 15, 2021·Canadian Journal of Gastroenterology & Hepatology·Cosmas Rinaldi A LesmanaRino A Gani
Aug 18, 2020·European Journal of Gastroenterology & Hepatology·Wisam SbeitTawfik Khoury
Nov 20, 2021·Journal of Medical Ultrasonics·Cosmas Rinaldi Adithya LesmanaLaurentius A Lesmana

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