Novel techniques for gastric variceal obliteration

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

Research output: Contribution to journalArticle

6 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)189-196
Number of pages8
JournalDigestive Endoscopy
Volume27
Issue number2
DOIs
StatePublished - Jan 1 2015

Fingerprint

Esophageal and Gastric Varices
Stomach
Hemorrhage
Adhesives
Injections
Transjugular Intrahepatic Portasystemic Shunt
Cyanoacrylates
Therapeutics

Keywords

  • coil
  • cyanoacrylate
  • endosonography
  • esophageal varices
  • gastric varices

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

Fujii-Lau, L. L., Law, R., Wong Kee Song, L. M., & Levy, M. J. (2015). Novel techniques for gastric variceal obliteration. Digestive Endoscopy, 27(2), 189-196. https://doi.org/10.1111/den.12337

Novel techniques for gastric variceal obliteration. / Fujii-Lau, Larissa L.; Law, Ryan; Wong Kee Song, Louis M.; Levy, Michael J.

In: Digestive Endoscopy, Vol. 27, No. 2, 01.01.2015, p. 189-196.

Research output: Contribution to journalArticle

Fujii-Lau, LL, Law, R, Wong Kee Song, LM & Levy, MJ 2015, 'Novel techniques for gastric variceal obliteration', Digestive Endoscopy, vol. 27, no. 2, pp. 189-196. https://doi.org/10.1111/den.12337
Fujii-Lau LL, Law R, Wong Kee Song LM, Levy MJ. Novel techniques for gastric variceal obliteration. Digestive Endoscopy. 2015 Jan 1;27(2):189-196. https://doi.org/10.1111/den.12337
Fujii-Lau, Larissa L. ; Law, Ryan ; Wong Kee Song, Louis M. ; Levy, Michael J. / Novel techniques for gastric variceal obliteration. In: Digestive Endoscopy. 2015 ; Vol. 27, No. 2. pp. 189-196.
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