Techniques in Gastrointestinal Endoscopy
Volume 7, Issue 1 , Pages 26-31 , January 2005

Endoscopic treatment of gastric varices: Use of band ligation, cyanoacrylate glue and novel therapies

  • M. Lamar Bryant, MD

      Affiliations

    • Division of Gastroenterology and Hepatology, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD.
    • ,
  • Stephen H. Caldwell, MD

      Affiliations

    • Division of Gastroenterology/Hepatology, Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA.
    • ,
  • Bruce D. Greenwald, MD

      Affiliations

    • Division of Gastroenterology and Hepatology, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD.
    • Corresponding Author InformationAddress reprint requests to: Bruce D. Greenwald, MD, Room N3W62, University of Maryland Medical Center, 22 S. Greene Street, Rm N3W62, Baltimore, MD 21201-1595.

References 

  1. Ryan BM , Stockbrugger RW , Ryan JM . A pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices . Gastroenterology . 2004;126:1175–1189
  2. Greenwald BD , Caldwell SH , Hespenheide EE , et al.   N-2-butyl-cyanoacrylate for bleeding gastric varices (A United States pilot study and cost analysis) . Am J Gastroenterol . 2003;98:1982–1988
  3. Sarin SK , Lahoti D , Saxena SP , et al.   Prevalence, classification and natural history of gastric varices (A long-term follow-up study in 568 portal hypertension patients) . Hepatology . 1992;16:1343–1349
  4. Nelson DB , Barkun AN , Block KP , et al.   Technology status evaluation report (Endoscopic hemostatic devices) . Gastrointest Endosc . 2001;54:833–840
  5. Lo GH , Lai KH , Cheng JS , et al.   A prospective, randomized trial of butyl cyanoacrylate injection versus band ligation in the management of bleeding gastric varices . Hepatology . 2001;33:1060–1064
  6. Lee MS , Cho JY , Cheon YK , et al.   Use of detachable snares and elastic bands for endoscopic control of bleeding from large gastric varices . Gastrointest Endosc . 2002;56:83–88
  7. Cipolletta L , Bianco MA , Rotondano G , et al.   Emergency endoscopic ligation of actively bleeding gastric varices with a detachable snare . Gastrointest Endosc . 1998;47:400–403
  8. Takeuchi M , Nakai Y , Syu A , et al.   Endoscopic ligation of gastric varices . Lancet . 1998;348:1038
  9. Yang WL , Tripathi D , Therapondos G , et al.   Endoscopic use of human thrombin in bleeding gastric varices . Am J Gastroenterol . 2002;97:1381–1385
  10. Williams SG , Peters RA , Westaby D . Thrombin (An effective treatment for gastric variceal haemorrhage) . Gut . 1994;35:1287–1289
  11. Thrombin-JMI Monograph. PDR Electronic Library. Version 6.0.0a. Vol 2003.1. Thomson Medical Economics, Montvale, NJ.
  12. Rengstorff DS , Binmoeller KF . A pilot study of 2-octyl cyanoacrylate injection for treatment of gastric fundal varices in humans . Gastrointest Endosc . 2004;59:553–558
  13. Tan YM , Goh K-L , Kamarulzaman A , et al.   Multiple systemic embolisms with septicemia after gastric variceal obliteration with cyanoacrylate . Gastrointest Endosc . 2002;55:276–278
  14. Wahl P , Lammer F , Conen D , et al.   Septic complications after injection of n-butyl-2-cyanoacrylate (Report of two cases and review) . Gastrointest Endosc . 2004;59:911–916
  15. Bhasin DK , Sharma BC , Prasad H , et al.   Endoscopic removal of sclerotherapy needle from gastric varix after n-butyl-2-cyanoacrylate injection . Gastrointest Endosc . 2000;51:497–498

PII: S1096-2883(04)00105-6

doi: 10.1016/j.tgie.2004.10.005

Techniques in Gastrointestinal Endoscopy
Volume 7, Issue 1 , Pages 26-31 , January 2005

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