Year 2025 / Volume 117 / Number 9
Letter
New options for endoscopic treatment of gastric varices

531-532

DOI: 10.17235/reed.2024.10490/2024

Cheng Wei, Rui-Yue Shi, De-Feng Li, Jun Yao, Li-Sheng Wang,

Abstract
Background: Gastric venous bleeding is one of the most common adverse events in liver cirrhosis. The therapeutic effect of isolated gastric varices is relatively clear. However, there is no appropriate clinical and endoscopic treatment for extensive variceal bleeding in the gastric fundus and body. Methods: In this patient with non-isolated gastric varices, we decided to perform endoscopic multi-point ligation of the obvious varices in the gastric fundus and body. Results: In this patient, endoscopic treatment of gastric varices with bleeding after surgery achieved a significant therapeutic effect. Reexamination of gastroscopy at 3 months after operation showed that multiple scars were formed in the gastric fundus and fundus, and no obvious varices were found. Conclusions: For patients with non-isolated gastric varices, endoscopic multi-point ligation is a safe and effective treatment option for the varices with obvious gastric fundus and body.
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References
1.Goral V, Yılmaz N. Current Approaches to the Treatment of Gastric Varices: Glue, Coil Application, TIPS, and BRTO. Medicina (Kaunas). 2019 Jul 3;55(7):335. Doi: 10.3390/medicina55070335.
2.Zuckerman MJ, Elhanafi S, Mendoza Ladd A. Endoscopic Treatment of Esophageal Varices. Clin Liver Dis. 2022 Feb;26(1):21-37. Doi: 10.1016/j.cld.2021.08.003.
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Wei C, Shi R, Li D, Yao J, Wang L. New options for endoscopic treatment of gastric varices . 10490/2024


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Publication history

Received: 18/04/2024

Accepted: 07/06/2024

Online First: 05/07/2024

Published: 15/09/2025

Article Online First time: 78 days

Article editing time: 515 days


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