Open AccessOBLITERATION OF GASTRIC VARICES GUIDED BY ECO-ENDOSCOPY WITH COILS INSERTION COATED WITH EXPANDABLE HIDROGEL POLYMERS.
Author(s) -
Gabriel Mosquera-Klinger,
Carlos De La Serna,
Sergio Bazaga,
Javier GarcíaAlonso,
Hermógenes Calero-Aguilar,
Marina De Benito,
Ramón Sánchez-Ocaña Hernández,
Manuel Pérez-Miranda
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.7340/2020
Subject(s) - medicine , endoscopy , varices , gastric varices , general surgery , radiology , cirrhosis
gastric varices hemorrhage is a severe complication of portal hypertension, with high mortality rates and few management alternatives, especially when there is a contraindication to transjugular intrahepatic portosystemic shunts (TIPS). The usual therapeutic options are the injection of cyanoacrylate, the insertion of coils or both. Hydrocoils are special coils coated with different types of expandable hydrogel polymers conventionally used in neurovascular interventionism. They allow rapid occlusion of vessel, forming a mesh that favors the local formation of thrombus and the development of a neointima on the gel cover. We consider the use of endoscopic ultrasound (EUS) guided hydrocoil insertion in gastric varices, without using cyanoacrylate.