Successful endoscopic treatment of bleeding gastric varices with n-butyl-2-cyanoacrylate and lipiodol mixture injection
Journal Title: Dicle Tıp Dergisi - Year 2011, Vol 38, Issue 4
Abstract
Objectives: The aim of this study was to determine effect of N-Butyl-2 Cyanoacrylate (CA) and lipiodol mixture injection for hemostasis of bleeding gastric varices or lesions, which had bled from gastric varices. Materials and methods Fifteen patients with active bleeding or bleeding findings within two weeks who admitted to endoscopic unit of a low volume medical center were evaluated retrospectively between 2003 and 2010. We carried out endoscopic sclerotherapy successfully to gastric varices with combination of N-Butyl-2 Cyanoacrylate and Lipiodol (CALM), with dramatical success over months after sessions of sclerotherapy for each patient. Results: Sclerotherapy with cyanoacrylate achieved hemostasis in all actively bleeding nine patients initially. Rebleeding occurred in a patient 24 hours later and in another patient two months later (2/15, 13.3%). Eradication of gastric varices was achived in 13 (86.7 %) patients during follow-up. One patient was operated because of rebleeding. One patient died as a result of liver failure. Five-year survival rate of the patients after eradication of gastric varices was 14/15 (93.3%). Conclution: This study indicated that sclerotherapy with N-Butyl-2 Cyanoacrylate and lipiodol mixture is an effective treatment method for patients with bleeding gastric varices and also for eradication of gastric varices.
Authors and Affiliations
Yaşar Tuna, Adnan Taş, Seyfettin Köklü
Keywords
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- EP ID EP134849
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