scholarly journals Novel Endoscopic Therapy for Gastric Varices Using Direct Forward-Viewing Endoscopic Ultrasonography

2021 ◽  
pp. 28-34
Author(s):  
Keiji Yokoyama ◽  
Takashi Miyayama ◽  
Yotaro Uchida ◽  
Hiromi Fukuda ◽  
Ryo Yamauchi ◽  
...  
Keyword(s):  
Endoscopic Ultrasonography ◽  
Endoscopic Therapy ◽  
Therapeutic Option ◽  
Preventive Treatment ◽  
Gastric Varices ◽  
Massive Hemorrhage ◽  
Additional Treatment ◽  
Injection Sclerotherapy ◽  
Endoscopic Injection Sclerotherapy ◽  
Endoscopic Injection

Gastric varices (GV) carry a high risk of massive hemorrhage because of potential rupture. To reduce the risk associated with GV, patients need to undergo hemostatic and preventive treatment. The objective of this retrospective study was to evaluate the usefulness of a new method, direct forward-viewing endoscopic ultrasonography (DFV-EUS) for the treatment of GV. We performed endoscopic injection sclerotherapy with histoacryl (EIS-HA) using DFV-EUS for GV in four patients. The paracentesis success rate was 75% (3/4). DFV-EUS has a significant advantage for the treatment of GV in that it can show physicians endoscopic and ultrasound views in real time during the delivery of the sclerosant into the GV. However, the proper use of the ultrasound view must be elucidated through further research for safer and more effective therapy. In the presence of distance between the mucosal surface and vascular lumen or when the blood flow site requires puncture as an additional treatment, DFV-EUS might be a good candidate for the treatment of GV. Altogether, EIS-HA with DFV-EUS might be a new therapeutic option for patients with GV.

scholarly journals A case of granuloma that appeared after endoscopic injection sclerotherapy using Histoacryl for gastric varices

2008 ◽  
Vol 73 (2) ◽  
pp. 140-141
Author(s):  
Takao Miura ◽  
Ryu Nishiyama ◽  
Akifumi Ogihara ◽  
Shinya Masuoka ◽  
Akiko Hosoi ◽  
...  
Keyword(s):  
Gastric Varices ◽  
Injection Sclerotherapy ◽  
Endoscopic Injection Sclerotherapy ◽  
Endoscopic Injection

Su1476 Efficacy of Combined Balloon-Occluded Retrograde Transvenous Obliteration With Ethanol and Endoscopic Injection Sclerotherapy for Gastric Varices

2014 ◽  
Vol 146 (5) ◽  
pp. S-479
Author(s):  
Wataru Sato ◽  
Takashi Goto ◽  
Kentaro Kamada ◽  
Shigetoshi Ohshima ◽  
Kouichi Miura ◽  
...  
Keyword(s):  
Gastric Varices ◽  
Injection Sclerotherapy ◽  
Endoscopic Injection Sclerotherapy ◽  
Endoscopic Injection

scholarly journals Endoscopic therapy for gastro-oesophageal varices of Caroli’s syndrome: a case report

2019 ◽  
Vol 48 (2) ◽  
pp. 030006051987799 ◽  
Author(s):  
Song Wang ◽  
Mei Xiao ◽  
Liqun Hua ◽  
Yong Jia ◽  
Si Chen ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Portal Hypertension ◽  
Hepatic Fibrosis ◽  
Endoscopic Therapy ◽  
Tissue Adhesive ◽  
Injection Sclerotherapy ◽  
Oesophageal Varices ◽  
Endoscopic Injection Sclerotherapy ◽  
Endoscopic Injection ◽  
Caroli’S Syndrome

Caroli’s disease (CD) is a very rare congenital disorder that is characterized by non-obstructive, segmental and cystic dilatation of intrahepatic ducts. Most patients with CD are asymptomatic, but some patients may suffer from hepatic fibrosis, liver cirrhosis or/and portal hypertension. In complex CD, cystic dilatations of the intrahepatic bile ducts can be present with congenital hepatic fibrosis, liver cirrhosis, portal hypertension, oesophageal varices and autosomal recessive polycystic kidney disease; a condition known as Caroli’s syndrome. This report describes the case of a 28-year-old woman that had gastro-oesophageal varices that were caused by hepatic fibrosis and portal hypertension as part of Caroli’s syndrome. The patient underwent successful treatment with endoscopic injection sclerotherapy with lauromacrogol and endoscopic variceal obturation using tissue adhesive. There were no immediate complications and the patient remained free of complications at 1-year follow-up. There are no current reports in the published literature describing Caroli’s syndrome induced by gastro-oesophageal varices that were treated by a combination of endoscopic injection sclerotherapy and endoscopic variceal obturation. Endoscopic therapy was an effective technique for the treatment of gastro-oesophageal varices in a patient with Caroli’s syndrome awaiting a liver transplant.

scholarly journals An Effective Case of Gastric Varices Treated with Shunt Occuluded Endoscopic Injection Sclerotherapy (SO-EIS)

1996 ◽  
Vol 49 (0) ◽  
pp. 188-189
Author(s):  
Sayo Yamaoka ◽  
Shigehiro Kokubu ◽  
Yorio Matsumoto ◽  
Akira Asano ◽  
Katsunori Saigenji ◽  
...  
Keyword(s):  
Gastric Varices ◽  
Injection Sclerotherapy ◽  
Endoscopic Injection Sclerotherapy ◽  
Endoscopic Injection ◽  
Effective Case

scholarly journals A Case of Bleeding Gastric Varices Successfully Treated with Shunt-Occluded Endoscopic Injection Sclerotherapy

2004 ◽  
Vol 54 (2) ◽  
pp. 157-161
Author(s):  
Hirotaka Arai ◽  
Takumi Hoshino ◽  
Mitsuo Toyoda ◽  
Mamiko Nagashima ◽  
Atsushi Naganuma ◽  
...  
Keyword(s):  
Gastric Varices ◽  
Injection Sclerotherapy ◽  
Endoscopic Injection Sclerotherapy ◽  
Endoscopic Injection

scholarly journals Sclerosant extravasation following endoscopic injection sclerotherapy for bleeding gastric varices

Endoscopy ◽  
2007 ◽  
Vol 39 (S 1) ◽  
pp. E242-E242 ◽  
Author(s):  
K. Akimoto ◽  
M. Inamori ◽  
T. Akiyama ◽  
H. Endo ◽  
K. Fujita ◽  
...  
Keyword(s):  
Gastric Varices ◽  
Injection Sclerotherapy ◽  
Endoscopic Injection Sclerotherapy ◽  
Endoscopic Injection
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