1036 COILS+ CYANOACRYLATE VS. COILS ALONE IN THE ENDOSCOPIC ULTRASOUND-GUIDED MANAGEMENT OF GASTRIC VARICES [GOV II AND IGV I]: A RANDOMIZED, CONTROLLED THERAPEUTIC TRIAL.


Abstract:

Background Bleeding from gastric varices (GV) is associated with high mortality. Injection of cyanoacrylate (CYA) using standard gastroscopes (SG) presents higher hemostasis and lower re-bleeding rates compared to band ligation or sclerotherapy. Nevertheless, CYA-SG is associated with some adverse events. EUS-guided coils alone technique presents less adverse events, but it shows lower obliteration rate compared with EUS-guided CYA alone, with a significantly higher health care cost. To date, there is no data regarding comparison between EUS-guided coils+ CYA vs. EUS-guided coils alone. Aim to compare efficacy and safety of coils+ CYA vs. coils alone in the EUS-guided management of GOV II and IGV I. Methods Single-center, randomized, controlled trial (March-2016-June-2017). Study protocol was approved by Institutional Review Board. Written informed consent was obtained. Selection criteria: 18 …

Año de publicación:

2018

Keywords:

    Fuente:

    googlegoogle

    Tipo de documento:

    Other

    Estado:

    Acceso abierto

    Áreas de conocimiento:

    • Cirugía
    • Medicina interna

    Áreas temáticas:

    • De obras de lugares específicos
    • Enfermedades
    • Organizaciones generales en Norteamérica