A Noninvasive Imaging Technique to Evaluate Therapeutic Efficacy after Injection of n-Butyl-2-cyanoacrylate Tissue Adhesive into Gastric Varices: A Case Report | Zendy

Bret J. Spier | Zendy; Andrew Taylor | Zendy; Patrick Pfau | Zendy; Adnan Said | Zendy; Deepak V. Gopal | Zendy

Open Access

A Noninvasive Imaging Technique to Evaluate Therapeutic Efficacy after Injection of n-Butyl-2-cyanoacrylate Tissue Adhesive into Gastric Varices: A Case Report

Author(s) -

Bret J. Spier,

Andrew Taylor,

Patrick Pfau,

Adnan Said,

Deepak V. Gopal

Publication year - 2009

Publication title -

canadian journal of gastroenterology

Language(s) - English

Resource type - Journals

eISSN - 1916-7237

pISSN - 0835-7900

DOI - 10.1155/2009/182082

Subject(s) - gastric varices , cyanoacrylate , varices , medicine , portography , varix , radiology , endoscopy , portal hypertension , nuclear medicine , surgery , cirrhosis , adhesive , chemistry , organic chemistry , layer (electronics)

A novel use of multidetector computed tomographic intravenous (MDCT IV) portography in the evaluation of gastric varices treated with tissue adhesive is described. A 55-year-old man presented with upper gastrointestinal hemorrhage as a result of bleeding gastric varices. The patient was stabilized and the gastric varices were treated with n-butyl-2-cyanoacrylate (two injections, total 7.5 mL). MDCT IV portography performed after injection revealed thrombosis of all but one of the submucosally based gastric varices. The endoscopist who performed repeat endoscopy three weeks later was then able to direct therapy at the remaining patent submucosally based gastric varix. This represents the first reported use of MDCT IV portography in the evaluation of treatment adequacy in a patient with gastric varices treated with n-butyl-2-cyanoacrylate.

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