EUS-assisted thrombin injection for ectopic bleeding varices-a case report and review of the literature

QJM: An International Journal of Medicine

Volumn 105, Issue 4, 2012, Pages 355-358

  Krystallis, C ^a   McAvoy, N C ^a   Wilson, J ^b   Hayes, P C ^a   Plevris, J N ^a  

^a UNIVERSITY OF EDINBURGH   (United Kingdom)

^b VICTORIA HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

CARVEDILOL; HEMOGLOBIN; THROMBIN;

ADULT; ARTICLE; BLOOD TRANSFUSION; CASE REPORT; COLONOSCOPY; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; DUODENAL VARICES; ECTOPIC VARICES; ENDOSCOPIC ECHOGRAPHY; ENDOSCOPY; FOLLOW UP; GASTROINTESTINAL HEMORRHAGE; HUMAN; MALE; MESENTERIC VARICES; MESENTERIC VEIN THROMBOSIS; PORTAL HYPERTENSION; PRIORITY JOURNAL; REPEAT PROCEDURE; SPLENIC VEIN; TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT; VARICOSIS; VEIN DISEASE;

EID: 84859012766     PISSN: 14602725     EISSN: 14602393     Source Type: Journal    
DOI: 10.1093/qjmed/hcr030     Document Type: Article

References (16)

1. Helmy A, Al Kahtani K, Al Fadda M. Updates in the pathogenesis, diagnosis and management of ectopic varices. Hepatol Int 2008; 2:322-34.
2. Norton ID, Andrews JC, Kamath PS. Management of ectopic varices. Hepatology 1998; 28:1154-8.
3. Khouqeer F, Morrow C, Jordan P. Duodenal varices as a cause of massive upper gastrointestinal bleeding. Surgery 1987; 102:548-52.
4. El-Saadany M, Jalil S, Irisawa A, Shibukawa G, Ohira H, Bhutani MS. EUS for portal hypertension: a comprehensive and critical appraisal of clinical and experimental indications. Endoscopy 2008; 40:690-6.
5. Kochar N, Tripathi D, McAvoy NC, Ireland H, Redhead DN, Hayes PC. Bleeding ectopic varices in cirrhosis: the role of transjugular intrahepatic portosystemic stent shunts. Aliment Pharmacol Ther 2008; 28:294-303.
6. Tripathi D, Hayes PC. Endoscopic therapy for bleeding gastric varices: to clot or glue? Gastrointest Endosc 2008; 68:883-6.
7. Shiba M, Higuchi K, Nakamura K, Itani A, Kuga T, Okazaki H, et al. Efficacy and safety of balloon-occluded endoscopic injection sclerotherapy as a prophylactic treatment for high-risk gastric fundal varices: a prospective, randomized, comparative clinical trial. Gastrointest Endosc 2002; 56:522-8.
8. Lee YT, Chan FK, Ng EK, Leung VK, Law KB, Yung MY, et al. EUS-guided injection of cyanoacrylate for bleeding gastric varices. Gastrointest Endosc 2000; 52:168-74.
9. de Paulo GA, Ardengh JC, Nakao FS, Ferrari AP. Treatment of esophageal varices: a randomized controlled trial comparing endoscopic sclerotherapy and EUS-guided sclerotherapy of esophageal collateral veins. Gastrointest Endosc 2006; 63:396-402.
10. Romero-Castro R, Pellicer-Bautista FJ, Jimenez-Saenz M, Marcos-Sanchez F, Caunedo-Alvarez A, Ortiz-Moyano C, et al. EUS-guided injection of cyanoacrylate in perforating feeding veins in gastric varices: results in 5 cases. Gastrointest Endosc 2007; 66:402-7.
11. Levy MJ, Wong Kee Song LM, Kendrick ML, Misra S, Gostout CJ. EUS-guided coil embolization for refractory ectopic variceal bleeding. Gastrointest Endosc 2008; 67:572-4.
12. Ramesh J, Limdi JK, Sharma V, Makin AJ. The use of thrombin injections in the management of bleeding gastric varices: a single-center experience. Gastrointest Endosc 2008; 68:877-82.
13. Rai R, Panzer SW, Miskovsky E, Thuluvath PJ. Thrombin injection for bleeding duodenal varices. Am J Gastroenterol 1994; 89:1871-3.
14. Sans M, Llach J, Bordas JM, Andreu V, Reverter JC, Bosch J, et al. Thrombin and ethanolamine injection therapy in arresting uncontrolled bleeding from duodenal varices. Endoscopy 1996; 28:403.
15. Bañares R, Moitinho E, Matilla A, García-Pagán JC, Lampreave JL, Piera C, et al. Randomized comparison of long-term carvedilol and propranolol administration in the treatment of portal hypertension in cirrhosis. Hepatology 2002; 36:1367-73.
16. Stanley AJ, Therapondos G, Helmy A, Hayes PC. Acute and chronic haemodynamic and renal effects of carvedilol in patients with cirrhosis. J Hepatol 1999; 30:479-84.