Endoscopic Ultrasound-Guided Angiotherapy for Gastric Varices: A Single Center Experience

Tawfik Khoury*, Muhammad Massarwa, Saleh Daher, Ariel A. Benson, Wadi Hazou, Eran Israeli, Harold Jacob, Julia Epstein, Rifaat Safadi

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

There are limited efficacious therapeutic options for management of gastric variceal bleeding. Treatment modalities include transjugular intrahepatic portosystemic shunt, surgical shunts, and endoscopic interventions, including the recent advancement of endoscopic ultrasound (EUS)-guided coiling. We present a case series of 10 patients with portal hypertension (7 with liver cirrhosis and 3 without cirrhosis), complicated by gastric varices (GV) with bleeding. All cases were treated successfully with EUS-guided coiling leading to variceal eradication. There were 10 occurrences of minimal self-limited bleeding at the puncture site during the procedure, and only one occurrence of major bleeding that necessitated cyanoacrylate glue injection for homeostasis. There were no other adverse events within a mean follow-up time of 9.7 months (range, 1-28 months). Conclusion: In our series, EUS-guided angiotherapy was effective for GV eradication with a high safety profile.

Original languageEnglish
Pages (from-to)207-212
Number of pages6
JournalHepatology Communications
Volume3
Issue number2
DOIs
StatePublished - Feb 2019
Externally publishedYes

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