EUS coil and glue for gastric varices-prevent, treat and rescue, one therapy to rule them all?

Journal: Endoscopic ultrasound
Published Date: Dec 1, 2023

Abstract

BACKGROUND AND OBJECTIVES: In portal hypertension, gastric varix-associated bleeding is known to have higher transfusion requirements, uncontrolled bleeding, rebleeding, intensive care unit requirements, and death. EUS-guided coil insertion is now an acceptable modality for endoscopic management in cases of gastric varices. With this study, we discuss our large single-center experience in the use of EUS for coil and glue injection in gastric varices. We also look into adverse events associated with and possibilities of using this modality as both primary prophylaxis and a rescue therapy.

Authors

  • Rajesh Puri
    Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Delhi, NCR, India.
  • Zubin Dev Sharma
    Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Delhi, NCR, India.
  • Saurabh Patle
    Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Delhi, NCR, India.
  • Suraj Bhagat
    Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Delhi, NCR, India.
  • Abhishek Kathuria
    Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Delhi, NCR, India.

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