Endoscopic ultrasound-guided diagnosis and treatment of gastric varices

Yang, Jian; Zeng, Yan; Zhang, Junwen

doi:10.4253/wjge.v14.i12.748

Cited by 2 publications

(1 citation statement)

References 78 publications

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“…First, the diagnosis of type 1 varicose veins by conventional endoscopy may not be accurate, especially for mild varicose veins, where the diameter of rectilinear or slightly tortuous varices is < 3 mm. Prominent gastric folds might affect the evaluation of submucosal GVs, where endoscopic ultrasound (EUS) of high-frequency miniprobes may increase the sensitivity of identifying the minimal GV and provide an accurate preoperative assessment[ 3 ]. In predicting rebleeding after GOV1 endoscopic treatment, high-frequency intraluminal ultrasound measurements are also more accurate than esophagogastroduodenoscopy[ 4 ].…”

Section: To the Editormentioning

confidence: 99%

Endoscopic band ligation or endoscopic tissue adhesive injection in the treatment of gastric varices: Which is better?

Yi,

Zhao

2024

World J Gastroenterol

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Section: To the Editormentioning

confidence: 99%

Endoscopic band ligation or endoscopic tissue adhesive injection in the treatment of gastric varices: Which is better?

Yi,

Zhao

2024

World J Gastroenterol

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Safety and efficacy of modified endoscopic ultrasound-guided selective N-butyl-2-cyanoacrylate injections for gastric variceal hemorrhage in left-sided portal hypertension

Zeng,

Yang,

Zhang

2024

World J Gastrointest Endosc

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BACKGROUND Gastric variceal hemorrhage is one of the primary manifestations of left-sided portal hypertension (LSPH). The hemorrhage is fatal and requires safe and effective interventions. AIM To evaluate the clinical safety and efficacy of modified endoscopic ultrasound (EUS)-guided selective N-butyl-2-cyanoacrylate (NBC) injections for gastric variceal hemorrhage in LSPH. METHODS A retrospective observational study of patients with LSPH-induced gastric variceal hemorrhage was conducted. Preoperative EUS evaluations were performed. Enrolled patients were divided into modified and conventional groups according to the NBC injection technique. The final selection of NBC injection technique depended on the patients’ preferences and clinical status. The technical and clinical success rates, operation time, NBC doses, perioperative complications, postoperative hospital stay, and recurrent bleeding rates were analyzed, respectively. RESULTS A total of 27 patients were enrolled. No statistically significant differences were observed between the two groups regarding baseline characteristics. In comparison to patients in the conventional group, patients in the modified group demonstrated significantly reduced NBC doses (2.0 ± 0.6 mL vs 3.1 ± 1.0 mL; P = 0.004) and increased endoscopic operation time (71.9 ± 11.9 min vs 22.5 ± 6.7 min; P < 0.001). Meanwhile, the two groups had no significant difference in the technical and clinical success rates, perioperative complications, postoperative hospital stay, and recurrent bleeding rates. CONCLUSION Modified EUS-guided selective NBC injections demonstrated safety and efficacy for LSPH-induced gastric variceal hemorrhage, with advantages of reduced injection dose and no radiation risk. Drawbacks were time consumption and technical challenge.

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Endoscopic ultrasound-guided diagnosis and treatment of gastric varices

Cited by 2 publications

References 78 publications

Endoscopic band ligation or endoscopic tissue adhesive injection in the treatment of gastric varices: Which is better?

Endoscopic band ligation or endoscopic tissue adhesive injection in the treatment of gastric varices: Which is better?

Safety and efficacy of modified endoscopic ultrasound-guided selective N-butyl-2-cyanoacrylate injections for gastric variceal hemorrhage in left-sided portal hypertension

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