Successful Endoscopic Obturation of Gastric Varices with Butyl Cyanoacylate
1989

Endoscopic Treatment of Gastric Varices

Sample size: 27 publication Evidence: moderate

Author Information

Author(s): Ramond, M-J, Valla, D., Mosnier, J-F, Degott, C., Bernau, J., Rueff, B., Benhamou, J-P

Hypothesis

Can butyl cyanoacrylate effectively treat gastric varices in patients who have bled from esophagogastric varices?

Conclusion

Endoscopic obturation of gastric varices with butyl cyanoacrylate shows better results compared to previous treatments with sclerosants.

Supporting Evidence

  • Active bleeding was stopped in six patients.
  • Rebleeding occurred in 10 patients, with some successfully treated by reinjection.
  • Eight patients died, but no specific complications from the injection were observed.

Takeaway

Doctors used a special glue to stop bleeding in patients with stomach varices, and it worked better than older methods.

Methodology

Endoscopic obturation of gastric varices using butyl cyanoacrylate in patients who had bled from esophagogastric varices.

Limitations

The study had a small sample size and some patients experienced rebleeding.

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