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Novel techniques for gastric variceal obliteration
Author(s) -
FujiiLau Larissa L.,
Law Ryan,
Wong Kee Song Louis M.,
Levy Michael J.
Publication year - 2015
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.12337
Subject(s) - medicine , transjugular intrahepatic portosystemic shunt , cyanoacrylate , gastric varices , surgery , endoscopy , glue , endoscope , radiology , esophagus , varices , portal hypertension , cirrhosis , chemistry , adhesive , organic chemistry , layer (electronics) , materials science , composite material
Acute hemorrhage related to gastric varices ( GV ) is more severe and often more difficult to immediately treat upon detection, leading to a poorer patient prognosis, as compared to esophageal variceal bleeding. Currently, the recommended treatment of bleeding GV is endoscopic cyanoacrylate injection and transjugular intrahepatic portosystemic shunt placement for endoscopic failures. Newer endoscopic (e.g. hemospray) and endosonographic (e.g. coil injection, glue obliteration, or combined coil and glue injection) techniques have been developed to offer an alternative treatment and improve patient outcome. The present article serves to review the endoscopic, endosonographic, and interventional radiological techniques used to treat GV and their clinical applications.