Abstract
Objectives
To report the results of endoscopic‐ultrasound guided injection of coils with cyanoacrylate using a less‐expensive coil, with an emphasis on the roles of Doppler and Endosonographic varicealography in identifying the feeder vessel in gastric varix treatment.
Methods
An observational, descriptive study with prospectively collected data. Patients with gastric varices were included and were treated by the endoscopic‐ultrasound guided injection of cyanoacrylate and a less‐expensive coil. Technical success, complete and immediate variceal obliteration, rebleeding, complication and survival rates were evaluated.
Results
Thirty patients with gastric varices, with a mean age of 62 years (range 44‐76 years), were treated. The median number of coils used was 2 (range 1‐3), and the median volume of cyanoacrylate was 1.8 ml (1.2‐2.4 ml). The technical success rate was 100%. Endosonographic varicealography technical success was observed in 26/30 patients. Complete variceal obliteration was observed in 96.6%of patients, and the immediate disappearance of the varix was observed in 24 (80%) patients. The complication rate was 6.7%.
Conclusions
Endoscopic‐ultrasound guidance for gastric varix treatment with the addition of endosonographic varicealography and the use of a less‐expensive coil is a safe and effective technique that results in the immediate disappearance of gastric varices after targeting the feeding vessel.
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