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CC BY-NC-ND 4.0 · Endosc Int Open 2019; 07(03): E380-E383
DOI: 10.1055/a-0826-4253
Case report
Owner and Copyright © Georg Thieme Verlag KG 2019

EUS-guided coil placement for acute gastric variceal bleeding induced by non-EUS-guided variceal glue injection (with video)

Tarek Mazzawi
1   Section of Gastroenterology, Department of Medicine, Haukeland University Hospital, Bergen, Norway,
2   Department of Clinical Medicine 1, University of Bergen, Bergen, Norway.
,
Carl Erik Markhus
3   Department of Radiology, Haukeland University Hospital, Bergen, Norway,
,
Roald F. Havre
1   Section of Gastroenterology, Department of Medicine, Haukeland University Hospital, Bergen, Norway,
2   Department of Clinical Medicine 1, University of Bergen, Bergen, Norway.
,
Khanh Do-Cong Pham
1   Section of Gastroenterology, Department of Medicine, Haukeland University Hospital, Bergen, Norway,
2   Department of Clinical Medicine 1, University of Bergen, Bergen, Norway.
› Author Affiliations
Further Information

Publication History

submitted 09 July 2018

accepted after revision 22 October 2018

Publication Date:
28 February 2019 (online)

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Abstract

Background and study aims Endoscopic ultrasound (EUS)-guided coil placement is a new emerging technique for management of gastric varices. In this video case report, we describe an EUS-guided coil placement for managing acute bleeding of gastric varices, following an unsuccessful glue injection to achieve hemostasis.

 

  • References

  • 1 Sarin SK, Lahoti D, Saxena SP. et al. Prevalence, classification and natural history of gastric varices: a long-term follow-up study in 568 portal hypertension patients. Hepatology (Baltimore, Md) 1992; 16: 1343-1349
    CrossrefPubMedGoogle Scholar
  • 2 Sarin SK, Kumar A. Gastric varices: profile, classification, and management. Am J Gastroenterol 1989; 84: 1244-1249
    PubMedGoogle Scholar
  • 3 Garcia-Tsao G, Sanyal AJ, Grace ND. et al. Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Hepatology (Baltimore, Md) 2007; 46: 922-938
    CrossrefPubMedGoogle Scholar
  • 4 Hwang SS, Kim HH, Park SH. et al. N-butyl-2-cyanoacrylate pulmonary embolism after endoscopic injection sclerotherapy for gastric variceal bleeding. J Comput Assist Tomogr 2001; 25: 16-22
    CrossrefPubMedGoogle Scholar
  • 5 Loffroy R, Estivalet L, Cherblanc V. et al. Transjugular intrahepatic portosystemic shunt for the management of acute variceal hemorrhage. World J Gastroenterol 2013; 19: 6131-6143
    CrossrefPubMedGoogle Scholar
  • 6 Fujii-Lau LL, Law R, Wong Kee Song LM. et al. Endoscopic ultrasound (EUS)-guided coil injection therapy of esophagogastric and ectopic varices. Surg Endosc 2016; 30: 1396-1404
    CrossrefPubMedGoogle Scholar
  • 7 Bhat YM, Weilert F, Fredrick RT. et al. EUS-guided treatment of gastric fundal varices with combined injection of coils and cyanoacrylate glue: a large U.S. experience over 6 years (with video). Gastrointest Endosc 2016; 83: 1164-1172
    CrossrefPubMedGoogle Scholar
  • 8 Rose SC. Mechanical devices for arterial occlusion and therapeutic vascular occlusion utilizing steel coil technique: clinical applications. AJF Am J Roentgenol 2009; 192: 321-324
    PubMedGoogle Scholar
  • 9 Weilert F, Binmoeller KF. EUS-guided vascular access and therapy. Gastrointest Endosc Clin North Am 2012; 22: 303-314
    CrossrefPubMedGoogle Scholar
  • 10 Romero-Castro R, Ellrichmann M, Ortiz-Moyano C. et al. EUS-guided coil versus cyanoacrylate therapy for the treatment of gastric varices: a multicenter study (with videos). Gastrointest Endosc 2013; 78: 711-721
    CrossrefPubMedGoogle Scholar