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Review
. 2017 Oct;27(4):741-747.
doi: 10.1016/j.giec.2017.06.011.

Endoscopic Ultrasonography-Guided Hemostasis Techniques

Everson Luiz de Almeida Artifon  1 , Fernando Pavinato Marson  2 , Muhammad Ali Khan  3
Affiliations
Review

Endoscopic Ultrasonography-Guided Hemostasis Techniques

Everson Luiz de Almeida Artifon et al. Gastrointest Endosc Clin N Am. 2017 Oct.

Abstract

Endoscopic ultrasonography (EUS)-guided hemostasis is an evolving technique that has the potential to improve the care of patients with refractory variceal and nonvariceal gastrointestinal bleeding. EUS-guided treatment of fundal varices with coil and/or cyanoacrylate seems to be highly effective in active bleeding, as well as for primary and secondary bleeding prophylaxis. Reports of EUS-guided treatment of refractory nonvariceal sources of bleeding are more scarce, but show high success rates. The procedures involve a medium to high technical difficulty level, and this has been replicated worldwide.

Keywords: EUS-guided hemostasis; EUS-guided vascular access; Endoscopic hemostasis; Gastrointestinal bleeding.

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