Endoscopic Treatment of Gastric Variceal Bleeding
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.