TITLE

Successful endoscopic sclerotherapy for bleeding gastric varices with combined cyanoacrylate and aethoxysklerol

AUTHOR(S)
Bei Shi; Wei Hu; Hui Zhu; Yun-Lin Wu; Eckardt, Volker F.; Yoshida, Hiroshi
PUB. DATE
June 2008
SOURCE
World Journal of Gastroenterology;6/14/2008, Vol. 14 Issue 22, p3598
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Two patients with liver cirrhosis and portal hyper-tension related to hepatitis infection were admitted to Shanghai Ruijin Hospital due to recurrent melena and hematemesis. Isolated gastric varices were observed in the gastric fundus during the retroflexion of gastroscope. We carried out endoscopic sclerotherapy successfully for bleeding gastric varices with combined cyanoacrylate and aethoxysklerol, which disappeared dramatically several months after two courses of sclerotherapy for each patient. No complication and clinical signs of gastrointestinal re-bleeding were observed during the 6-mo endoscopic follow-up. CT portal angiography (CTPA) has been widely used in the assessment of variceal treatment and improves the results of endoscopic injection therapy.
ACCESSION #
32920887

 

Related Articles

  • Long-term outcomes of prophylactic endoscopic histoacryl injection for gastric varices with a high risk of bleeding. Yun Chang; Jong-Jae Park; Moon Joo; Beom Lee; Jae-Won Yun; Dae-Woong Yoon; Ji Kim; Jong Yeon; Jae Kim; Kwan Byun; Young-Tae Bak; Chang, Yun Jung; Park, Jong-Jae; Joo, Moon Kyung; Lee, Beom Jae; Yun, Jae-Won; Yoon, Dae-Woong; Kim, Ji Hoon; Yeon, Jong Eun; Kim, Jae Seon // Digestive Diseases & Sciences;Aug2010, Vol. 55 Issue 8, p2391 

    Purpose: Endoscopic histoacryl injection (EHI) is reported to be an effective treatment modality for bleeding gastric varices (GVs) but controversial as a prophylactic treatment for non-bleeding GVs because efficacy and safety have yet to be determined. The aim of this study was to...

  • ENDOSCOPIC METHODS FOR TREATING AND PREVENTING BLEEDINGS IN PATIENTS WITH VARICOSE VEINS OF OESOPHAGUS AND STOMACH. Filin, A. A.; Myaukina, L. M.; Filin, A. V. // Pacific Medical Journal / Tihookeanskij Medicinskij Zurnal;Dec2011, Issue 4, p23 

    The paper summarises 12-year experience of performing 265 sessions of endoscopic ligation of varicose veins of oesophagus and stomach to 198 patients suffering from liver cirrhosis, and point out high efficiency of this method to prevent primary bleedings and, combined with sclerotherapy, to...

  • Successful endoscopic treatment of bleeding gastric varices with n-butyl-2-cyanoacrylate and lipiodol mixture injection. Tuna, Yaşar; Taş, Adnan; Köklü, Seyfettin // Dicle Medical Journal / Dicle Tip Dergisi;2011, Vol. 38 Issue 4, p387 

    Objectives: The aim of this study was to determine effect of N-Butyl-2 Cyanoacrylate (CA) and lipiodol mixture injection for hemostasis of bleeding gastric varices or lesions, which had bled from gastric varices. Materials and methods Fifteen patients with active bleeding or bleeding findings...

  • Duodenal Varices after Sclerotherapy for Esophageal Varices. Eleftheriadis, E. // American Journal of Gastroenterology;Apr1988, Vol. 83 Issue 4, p439 

    Two cases of post-sclerotherapy duodenal varices formation, one with bleeding, are herein reported, their diagnosis established endoscopically. Review of the literature indicates that the development of duodenal varices after endoscopic sclerotherapy for esophageal varices is very rare. We...

  • Nonfunctioning Pancreatic Endocrine Tumor Presenting with Hemorrhage from Isolated Gastric Varices. Yamaguchi, Tetsuya; Takahashi, Hiroshi; Kagawa, Ryuzaburo; Takeda, Ryoji; Sakata, Shingo; Yamamoto, Michihiro; Iwasa, Yoko // American Surgeon;Dec2005, Vol. 71 Issue 12, p1027 

    Hemorrhage from gastric varices due to left-sided portal hypertension is an unusual presentation for pancreatic endocrine tumor. A case of pancreatic endocrine tumor presenting with gastric variceal hemorrhage secondary to left-sided portal hypertension associated with splenic vein occlusion is...

  • Prophylactic sclerotherapy for varices. Bullimore, D.W.; Foster, P. // BMJ: British Medical Journal (International Edition);8/6/88, Vol. 297 Issue 6645, p370 

    Examines the applicability of sclerotherapy to stop variceal bleeding. Verification of fatal and non-fatal complications of the technique; Details of the process for its application; Statistical data on its application and mortality.

  • Cost-effectiveness of N-butyl-2-cyanoacrylate (histoacryl) glue injectionsversustransjugular intrahepatic portosystemic shunt in the management of acute gastric variceal bleeding. Mahadeva, S.; Bellamy, M. C.; Kessel, D.; Davies, M. H.; Millson, C. E. // American Journal of Gastroenterology;Dec2003, Vol. 98 Issue 12, p2688 

    The management of bleeding gastric varices has not been standardized. Although transjugular intrahepatic portosystemic shunt (TIPS) is used in most centers, endoscopic treatment with N-butyl-2-cyanoacrylate (cyanoacrylate) glue has recently been shown to be effective. Cost-effectiveness analyses...

  • Endoscopic Sclerotherapy for Bleeding Rectal Varices: A Case Report. Wang, Michael; Desigan, Gnana; Dunn, Dewey // American Journal of Gastroenterology;Oct1985, Vol. 80 Issue 10, p779 

    Rectal varices are not hemorrhoids and they are dilated submucosal veins connecting the middle and inferior hemorrhoidal veins. These rectal varices may occur in patients with portal hypertension because of the formation of portosystemic shunts. Like esophageal varices, the rectal varices may...

  • Combination of transileocolic vein obliteration and balloon-occluded retrograde transvenous obliteration is effective for ruptured duodenal varices. Ota, Kazuhiro; Okazaki, Masatoshi; Higashihara, Hideyuki; Kokawa, Hiroshi; Shirai, Zentaro; Anan, Akira; Kitamura, Yuji; Shijo, Hiroshi // Journal of Gastroenterology;1999, Vol. 34 Issue 6, p694 

    Abstract: Duodenal varices are a rare site of hemorrhage in patients with portal hypertension, but their rupture is a serious and often fatal event. We report a 65-year-old woman who presented with hematemesis and melena. She was admitted to our department because of prolonged shock, despite...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics