Shi B, Wu W, Zhu H, Wu YL. Successful endoscopic sclerotherapy for bleeding gastric varices with combined cyanoacrylate and aethoxysklerol. World J Gastroenterol 2008; 14(22): 3598-3601 [PMID: 18567095 DOI: 10.3748/wjg.14.3598]
Corresponding Author of This Article
Yun-Lin Wu, Department of Gastroente-rology, Ruijin Hospital Affiliated to Shanghai Jiaotong University, 197 Ruijin Er Road, Shanghai 200025, China. wuyunlin1951@163.com
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jun 14, 2008; 14(22): 3598-3601 Published online Jun 14, 2008. doi: 10.3748/wjg.14.3598
Successful endoscopic sclerotherapy for bleeding gastric varices with combined cyanoacrylate and aethoxysklerol
Bei Shi, Wei Wu, Hui Zhu, Yun-Lin Wu
Bei Shi, Wei Wu, Yun-Lin Wu, Department of Gastroente-rology, Ruijin Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200025, China
Hui Zhu, Department of Radiology, Ruijin Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200025, China
Author contributions: Wu YL and Shi B designed and performed the research; Zhu H made the radiologic studies; Shi B and Wu W wrote the paper.
Correspondence to: Yun-Lin Wu, Department of Gastroente-rology, Ruijin Hospital Affiliated to Shanghai Jiaotong University, 197 Ruijin Er Road, Shanghai 200025, China. wuyunlin1951@163.com
Telephone: +86-21-64370045
Fax: +86-21-64150773
Received: February 25, 2008 Revised: May 8, 2008 Accepted: May 15, 2008 Published online: June 14, 2008
Abstract
Two patients with liver cirrhosis and portal hypertension related to hepatitis infection were admitted to Shanghai Ruijin Hospital due to recurrent melena and hematemesis. Isolated gastric varices were observed in the gastric fundus during the retroflexion of gastroscope. We carried out endoscopic sclerotherapy successfully for bleeding gastric varices with combined cyanoacrylate and aethoxysklerol, which disappeared dramatically several months after two courses of sclerotherapy for each patient. No complication and clinical signs of gastrointestinal re-bleeding were observed during the 6-mo endoscopic follow-up. CT portal angiography (CTPA) has been widely used in the assessment of variceal treatment and improves the results of endoscopic injection therapy.
