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Multicenter Study
. 2019 Oct;51(10):936-940.
doi: 10.1055/a-0977-3022. Epub 2019 Aug 2.

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

Mingyan Zhang  1 , Ping Li  2 , Haijun Mou  3 , Yongjun Shi  1 , Biguang Tuo  3 , Suyun Jin  1 , Ruonan Sun  1 , Guangchuan Wang  1 , Jiali Ma  2 , Chunqing Zhang  1
Affiliations
Multicenter Study

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

Mingyan Zhang et al. Endoscopy. 2019 Oct.

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.

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Conflict of interest statement

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Comment in

  • Video Comment on Mingyan Zhang et al.
    [No authors listed] [No authors listed] Endoscopy. 2019 Oct;51(10):v28. doi: 10.1055/a-0962-1217. Epub 2019 Sep 26. Endoscopy. 2019. PMID: 31557765 No abstract available.
  • Metal and glue: best treatment choice for gastric varices?
    Chiorean MV. Chiorean MV. Endoscopy. 2019 Oct;51(10):913-914. doi: 10.1055/a-0996-9820. Epub 2019 Sep 26. Endoscopy. 2019. PMID: 31557772 No abstract available.
  • The fog is still not clearing!
    Chaudhari V, Ingle M, Pandey V, Chauhan S, Shukla A. Chaudhari V, et al. Endoscopy. 2020 Jan;52(1):80. doi: 10.1055/a-1021-8676. Epub 2019 Dec 18. Endoscopy. 2020. PMID: 31853934 No abstract available.
  • Reply to Chaudhari.
    Zhang M, Zhang C. Zhang M, et al. Endoscopy. 2020 Jan;52(1):81. doi: 10.1055/a-1021-8805. Epub 2019 Dec 18. Endoscopy. 2020. PMID: 31853935 No abstract available.

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