Endoscopic follow-up of cyanoacrylate obliteration of gastric varices

Arquivos de Gastroenterologia

Fernanda Prata Martins¹  Erika Pereira De Macedo¹  Gustavo Andrade De Paulo¹  Frank Shigueo Nakao¹  José Celso Ardengh¹  Angelo Paulo Ferrari¹ 

[1] ,Universidade Federal de São PauloSão Paulo SP ,Brazil

关键词: Esophageal and gastric varices;    Cyanoacrylates;    Follow-up studies;    Varizes esofágicas e gástricas;    Cianoacrilatos;    Seguimentos;   

DOI  :  10.1590/S0004-28032009000100020

来源: SciELO

【 摘 要 】

Bleeding from gastric varices is a life-threatening condition. We report our experience with cyanoacrylate injection. Twenty three patients with portal hypertension and gastric varices underwent intra-variceal injection of a cyanoacrylate/lipiodol solution (1:1). Study endpoint was variceal obliteration. Mean follow-up was 25.3 months. Variceal obliteration was achieved in 87% of patients. Recurrence occurred in one patient (4.3%) and rebleeding in another case (4.3%). Mild abdominal pain was described in 13% of patients. Overall mortality was 21.7% and rebleeding related mortality rate was 4.3%. Our results confirm that cyanoacrylate injection is effective and safe to eradicate gastric varices.

【 授权许可】

CC BY-NC   
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