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Endoscopy 2019; 51(10): 936-940
DOI: 10.1055/a-0977-3022
Innovations and brief communications
© Georg Thieme Verlag KG Stuttgart · New York

Clip-assisted endoscopic cyanoacrylate injection for gastric varices with a gastrorenal shunt: a multicenter study

Mingyan Zhang   *
1   Department of Gastroenterology and Hepatology, Shandong Provincial Hospital affiliated to Shandong University, Jinan, China
,
Ping Li   *
2   Department of Endoscopy, Beijing Ditan Hospital, Beijing, China
,
Haijun Mou
3   Department of Gastroenterology, the Affiliated Hospital of Zunyi Medical College, Zunyi, China
,
Yongjun Shi
1   Department of Gastroenterology and Hepatology, Shandong Provincial Hospital affiliated to Shandong University, Jinan, China
,
Biguang Tuo
3   Department of Gastroenterology, the Affiliated Hospital of Zunyi Medical College, Zunyi, China
,
Suyun Jin
1   Department of Gastroenterology and Hepatology, Shandong Provincial Hospital affiliated to Shandong University, Jinan, China
,
Ruonan Sun
1   Department of Gastroenterology and Hepatology, Shandong Provincial Hospital affiliated to Shandong University, Jinan, China
,
Guangchuan Wang
1   Department of Gastroenterology and Hepatology, Shandong Provincial Hospital affiliated to Shandong University, Jinan, China
,
Jiali Ma
2   Department of Endoscopy, Beijing Ditan Hospital, Beijing, China
,
Chunqing Zhang
1   Department of Gastroenterology and Hepatology, Shandong Provincial Hospital affiliated to Shandong University, Jinan, China
› Author Affiliations
Further Information

Publication History

submitted 22 December 2018

accepted after revision 06 June 2019

Publication Date:
02 August 2019 (online)

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Video Comment on Mingyan Zhang et al.Endoscopy 2019; 51(10): v28-v28
DOI: 10.1055/a-0962-1217

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The fog is still not clearing!Endoscopy 2020; 52(01): 80-80
DOI: 10.1055/a-1021-8676

Abstract

Background The aim of this study was to evaluate the safety and efficacy of clip-assisted endoscopic cyanoacrylate injection for gastric varices with a gastrorenal shunt.

Methods Records were reviewed of patients with gastric varices and concomitant gastrorenal shunts who underwent clip-assisted endoscopic cyanoacrylate injection at three tertiary centers between April 2016 and October 2018. The assessed outcomes were technical success rate, eradication of gastric varices, cyanoacrylate embolization, and all-cause rebleeding.

Results A total of 61 patients were analyzed. The procedure was successful in all patients (100 %). Gastric varices were eradicated in 30 of 33 patients (90.9 %) according to contrast-enhanced computed tomography re-examination within 1 month after the procedure. No symptoms or signs of cyanoacrylate embolization related to the procedure were observed. Four patients (6.6 %) were lost to follow-up. All-cause rebleeding occurred in 13/57 patients (22.8 %) during a median follow-up period of 225 days (interquartile range 114 – 507 days).

Conclusions Clip-assisted endoscopic cyanoacrylate injection appeared to be a safe procedure that was convenient and efficacious in the treatment of gastric varices with concomitant gastrorenal shunt.

* Co-first authors.


Appendix Fig. 1s

Letter to this article:

Reply to ChaudhariEndoscopy 2020; 52(01): 81-81
DOI: 10.1055/a-1021-8805

 

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