Procedure-related complications in gastric variceal obturation with tissue glue

Figure 3 Glue adhesion to the endoscope in one patient. A and B: Three GOV1 varices were observed; C: Obturation of one varix with tissue glue; D: The glue leaked out but the reversed endoscope blocked the vision; E: A large mass of solidified glue adhered to the endoscope and damaged the cardia; F: The glue was 1.5 cm in width and 3.0 cm in length; G and H: A large area of mucous was damaged in the esophagus and gastric cardia. Bleeding was observed, especially a gush of blood at the cardia; I: The bleeding at the cardia ceased after a 1% aethoxysklerol injection; J-L: The patient underwent follow-up 5 wk later. Extrusion of the glue from the gastric varices was observed, and EVL was performed to eradicate the esophageal varices. GOV: Gastroesophageal varices; EVL: Endoscopic variceal ligation.