Novel techniques for gastric variceal obliteration

Larissa L. Fujii-Lau; Ryan Law; Louis M. Wong Kee Song; Michael J. Levy

doi:10.1111/den.12337

Novel techniques for gastric variceal obliteration

Larissa L. Fujii-Lau, Ryan Law, Louis M. Wong Kee Song, Michael J. Levy

Gastroenterology and Hepatology

Research output: Contribution to journal › Review article › peer-review

9 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	189-196
Number of pages	8
Journal	Digestive Endoscopy
Volume	27
Issue number	2
DOIs	https://doi.org/10.1111/den.12337
State	Published - Jan 1 2015

Keywords

coil
cyanoacrylate
endosonography
esophageal varices
gastric varices

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Gastroenterology

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10.1111/den.12337

Cite this

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title = "Novel techniques for gastric variceal obliteration",

abstract = "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.",

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AU - Fujii-Lau, Larissa L.

AU - Law, Ryan

AU - Wong Kee Song, Louis M.

AU - Levy, Michael J.

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N2 - 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.

AB - 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.

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Novel techniques for gastric variceal obliteration

Abstract

Keywords

ASJC Scopus subject areas

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