We report on our two years' experience with the tissue adhesive n-butyl-2-cyanoacrylate.
During this period 202 patients suffering from esophagogastric varices were treated
endoscopically. With the aid of the tissue adhesive the conventional sclerotherapy
with Polidocanol 1 % has been clearly improved. Problems concerning early recurrent
bleeding and fundic varices are satisfactorily solved. The endoscopic hemostasis of
severe variceal bleedings has become safer and surer. The overall hospital mortality
of these patients has sunk from 31.5 to 17.5 %. Cyanoacrylate is a very useful substance
for obliterating large esophagogastric varices. However, the complete elimination
of esophageal varices, which is the guarantee for a long-term freedom from recurrent
bleeding, can only be achieved by using a genuine sclerosing agent.
Esophagogastric varices - Obliteration - n-Butyl-2-cyanoacrylate
