Endoscopic follow-up of cyanoacrylate obliteration of gastric varices

• Autor(a) principal: Martins,Fernanda Prata
• Data de Publicação: 2009
• Outros Autores: Macedo,Erika Pereira de, Paulo,Gustavo Andrade de, Nakao,Frank Shigueo, Ardengh,José Celso, Ferrari,Angelo Paulo
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Arquivos de gastroenterologia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032009000100020
• topic: Esophageal and gastric varices; Cyanoacrylates; Follow-up studies

Bleeding from gastric varices is a life-threatening condition. We report our experience with cyanoacrylate injection. Twenty three patients with portal hypertension and gastric varices underwent intra-variceal injection of a cyanoacrylate/lipiodol solution (1:1). Study endpoint was variceal obliteration. Mean follow-up was 25.3 months. Variceal obliteration was achieved in 87% of patients. Recurrence occurred in one patient (4.3%) and rebleeding in another case (4.3%). Mild abdominal pain was described in 13% of patients. Overall mortality was 21.7% and rebleeding related mortality rate was 4.3%. Our results confirm that cyanoacrylate injection is effective and safe to eradicate gastric varices.