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Endoscopic Treatment of Gastric Variceal Bleeding

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Therapeutic Gastrointestinal Endoscopy

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Abstract

Bleeding from esophageal and gastric varices is the most life-threatening complication of liver cirrhosis and portal hypertension. In gastric variceal bleeding, endoscopic management by injection of cyanoacrylate may be more effective than endoscopic ligation. Endoscopic injection of cyanoacrylate is a safe and effective hemostatic method for patients with gastric variceal bleeding. Repeat endoscopic treatment is less effective than the initial injection. Advanced-stage cirrhosis and hepatocellular carcinoma are major risk factors for failed hemostasis after cyanoacrylate injection of gastric varices.

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References

  1. Sarin SK, Lahoti D, Saxena SP, et al. Prevalence, classification and natural history of gastric varices: a long-term follow-up study in 568 portal hypertension patients. Hepatology. 1992;16:1343–9.

    Article  CAS  Google Scholar 

  2. Sarin SK, Kumar A. Gastric varices: profile, classification, and management. Am J Gastroenterol. 1989;84:1244–9.

    CAS  PubMed  Google Scholar 

  3. Hashizume M, Kitano S, Yamaga H, et al. Endoscopic classification of gastric varices. Gastrointest Endosc. 1990;36:276–80.

    Article  CAS  Google Scholar 

  4. Hashizume M, Akahoshi T, Tomikawa M. Management of gastric varices. J Gastroenterol Hepatol. 2011;26(Suppl 1):102–8.

    Article  Google Scholar 

  5. Ryan BM, Stockbrugger RW, Ryan JM. Review article: a pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices. Gastroenterology. 2004;126:1175–89.

    Article  Google Scholar 

  6. Hegab AM, L uketic VA. Bleeding esophageal varices. Postgrad Med. 2001;109:75–89.

    Article  CAS  Google Scholar 

  7. Shim CS, Cho JD, Kim JO, et al. A case of portal and splenic vein thrombosis after Histoacryl injection therapy in gastric varices. Endoscopy. 1996;1996:461.

    Article  Google Scholar 

  8. Cheng PN, Sheu BS, Chen CY, et al. Splenic infarction after histoacryl injection for bleeding gastric varices. Gastrointest Endosc. 1998;48:426–7.

    Article  CAS  Google Scholar 

  9. Yoshida T, Harada T, Shigemitsu T, et al. Endoscopic management of gastric varices using a detachable snare and simultaneous endoscopic sclerotherapy and O-ring ligation. J Gastroenterol Hepatol. 1999;14:730–5.

    Article  CAS  Google Scholar 

  10. Lee MS, Cho JY, Cheon YK, et al. Use of detachable snares and elastic bands for endoscopic control of bleeding from large gastric varices. Gastrointest Endosc. 2002;56:83–8.

    Article  Google Scholar 

  11. Ramesh J, Limdi JK, Sharma V, Makin AJ. The use of thrombin injections in the management of bleeding gastric varices: a single-center experience. Gastrointest Endosc. 2008;68:877–82.

    Article  Google Scholar 

  12. Wood RP, Shaw BW, Rikkers LF. Liver transplantation for variceal hemorrhage. Surg Clin North Am. 1990;70:449–61.

    Article  CAS  Google Scholar 

  13. Murray KF, Carithers RL Jr, AASLD. AASLD practice guidelines: evaluation of the patient for liver transplantation. Hepatology. 2005;41:1407.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea

    Woo Chul Chung

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  1. Woo Chul Chung
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Correspondence to Woo Chul Chung .

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Editors and Affiliations

  1. Department of Internal Medicine, Korea University Anam Hospital, Seoul, Korea (Republic of)

    Hoon Jai Chun

  2. Department of Gastroenterology, Asan Medical Center, Seoul, Korea (Republic of)

    Suk-Kyun Yang

  3. Department of Internal Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea (Republic of)

    Myung-Gyu Choi

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Chung, W.C. (2019). Endoscopic Treatment of Gastric Variceal Bleeding. In: Chun, H., Yang, SK., Choi, MG. (eds) Therapeutic Gastrointestinal Endoscopy. Springer, Singapore. https://doi.org/10.1007/978-981-13-1184-0_2

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  • DOI: https://doi.org/10.1007/978-981-13-1184-0_2

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1183-3

  • Online ISBN: 978-981-13-1184-0

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