Endoscopic Treatment of Bleeding Gastric Varices Using Large Amount of N-Butyl-2-Cyanoacrylate Under Fluoroscopic Guidance

Endoscopic Treatment of Bleeding Gastric Varices Using Large Amount of N-Butyl-2-Cyanoacrylate Under Fluoroscopic Guidance

Author Linhares, Marcelo Moura Autor UNIFESP Google Scholar
Matone, Jacques Autor UNIFESP Google Scholar
Matos, Delico Autor UNIFESP Google Scholar
Sakamoto, Flavio Issao Google Scholar
Caetano, Elesiario Marques Autor UNIFESP Google Scholar
Sato, Nelson Yukitoshi Autor UNIFESP Google Scholar
Herani Filho, Benedito Autor UNIFESP Google Scholar
Aramayo, Ana Leticia Autor UNIFESP Google Scholar
Goldenberg, Alberto Autor UNIFESP Google Scholar
De Jesus Lopes-Filho, Gaspar Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
GACIL Adv Grp Laparoscop & Endoscop Surg
Abstract Purpose: We propose the use of fluoroscopic guidance for endoscopic injection of n-butyl-2-cyanoacrylate to treat gastric variceal hemorrhage to achieve placement of the safest quantity of tissue adhesive.Methods: Ten patients with gastric varices were treated with n-butyl-2-cyanoacrylate endoscopic injection under fluoroscopic guidance for the purpose of hemostasis or prevention of recurrent bleeding. the glue was infused into the varices in the quantities needed to achieve complete obliteration of the gastric varices.Results: the median quantity of tissue adhesive required in this series was 6.6 mL. the procedure was initially considered successful in all patients. There were no complications relating to the procedure. the mean duration of follow-up was 20 months.Conclusions: Injection of suitable quantities of cyanoacrylate under fluoroscopic guidance seems to be safe and effective for controlling hemorrhagic gastric varices.
Keywords bleeding gastric varices
endoscopic treatment
Language English
Date 2008-10-01
Published in Surgical Laparoscopy Endoscopy & Percutaneous Techniques. Philadelphia: Lippincott Williams & Wilkins, v. 18, n. 5, p. 441-444, 2008.
ISSN 1530-4515 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 441-444
Origin http://dx.doi.org/10.1097/SLE.0b013e31817b8f0c
Access rights Closed access
Type Article
Web of Science ID WOS:000260315700003
URI http://repositorio.unifesp.br/handle/11600/30959

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