EUS-guided therapy of gastric varices (with video)

Abstract:

The development of gastric varices (GVs) is a well-known complication of portal hypertension that is present in up to one-third of cirrhotic patients,[1] with an estimated 6-week mortality rate after the first bleeding index of 20%.[2] Current guidelines recommend endoscopic cyanoacrylate injection as the standard therapy for GVs,[3] despite reports of high rebleeding rates and fatal adverse events.[4, 5] EUS-guided endovascular therapies, including the injection of glue, coils, absorbable hemostatic gelatin sponges, and hybrid treatments, have been proposed for the management of GVs. However, clinical guidelines and consensus statements are pending. The present article discusses the rationale of EUS-guided endovascular treatment and reviews EUS-guided alternatives for the management of GVs.

Año de publicación:

2020

Keywords:

Fuente:

google