Endoscopic Treatment of Bleeding Gastric Varices Using Eus-Guided Coiling and 2-Octyl Cyanoacrylate Injection

A 61-year-old male with liver cirrhosis secondary to NASH presented with hematemesis. Upper endoscopy showed gastric varices GOV2 with a fibrin clot.

On EUS, no feeding vessel was identified. The intraluminal gastric varices were targeted with a transgastric approach. The varices were sized. A 19gauge needle was used.

A total of 3 coils (14mm-14cm) were deployed. Following that, 1 ml of Dermabond was injected over 45 seconds. Doppler confirmed the cessation of blood flow.

There were no adverse events. No further bleeding was observed after the procedure.

Follow-up EGD/EUS three months later confirmed the ablation of the gastric varices.

Citation: Lajin M. eP90V ENDOSCOPIC TREATMENT OF BLEEDING GASTRIC VARICES USING EUS-GUIDED COILING AND 2-OCTYL CYANOACRYLATE INJECTION. Endoscopy 2021; 53: S126.

Publication History

Article published online:
19 March 2021