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Review
. 2024 Aug;36(8):884-894.
doi: 10.1111/den.14770. Epub 2024 Feb 26.

Advances in the endoscopic management of gastric varices

Xin-Tong Chi  1 , Ting-Ting Lian  1 , Ze-Hao Zhuang  2
Affiliations
Review

Advances in the endoscopic management of gastric varices

Xin-Tong Chi et al. Dig Endosc. 2024 Aug.

Abstract

This review provides an overview of the treatment options available for gastric varices (GV) with a focus on endoscopic methods. Various minimally invasive techniques, including endoscopic band ligation, endoscopic cyanoacrylate injection, and transjugular intrahepatic portosystemic shunt, can be applied to the treatment of GV. Endoscopic cyanoacrylate injection is now recognized as a first-line treatment for GV. Endoscopic ultrasound-guided cyanoacrylate injection combined with coils has shown good security and effectiveness. Thrombin injection therapy is a promising treatment, with a similar hemostasis rate to cyanoacrylate injection but with fewer serious complications. With the deepening understanding of the hemodynamics of the GV system, various treatment methods and their combination are gradually evaluated to provide patients with safer and more effective treatment options.

Keywords: endoscopic cyanoacrylate injection; endoscopic ligation; endoscopic thrombin injection; endoscopic ultrasound‐guided cyanoacrylate injection; gastric varices.

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References

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