Theme |
Diagnosis and Treatment of Portal Hypertention |
Title |
Treatment for Gastric Solitary Varices Using Cyanoacrylate Glue Injection |
Author |
Kazuhiko Oho |
Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine |
Author |
Kenji Miyakoda |
Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine |
Author |
Keigo Emori |
Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine |
Author |
Yukihiko Morita |
Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine |
Author |
Masafumi Kumamoto |
Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine |
Author |
Keiichi Mitsuyama |
Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine |
Author |
Osamu Tsuruta |
Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine |
Author |
Michio Sata |
Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine |
[ Summary ] |
Bleeding from gastric solitary varices is massive and often fatal. Cyanoacrylate, a tissue adhesive glue, is a watery substance that polymerizes instantly when it comes contact with blood. Cyanoacreylate glue injection has greatly improved hemostatic rates and outcomes for patients with bleeding gastric solitary varices. In the literature, there have been some reports of accidental embolization into the pulmonary or cerebral vasculature. Cyanoacrylate glue injection, in proper concentration and at correct injection rates should be considered for large gastric isolate varices. |