Year 2025 / Volume 117 / Number 12
Letter
Gastroscopic treatment of acute gastric variceal rupture through the right lateral position

786

DOI: 10.17235/reed.2024.10797/2024

Shubei Chen, Qiang Geng, Ying Lin, Yong Ye, Qing Yang,

Abstract
Acute variceal bleeding is a life-threatening condition and a common cause of cirrhosis-related death, severe acute bleeding is difficult to treat and has a high mortality rate, drug treatment is often ineffective. We encountered a patient with cirrhosis with ruptured and bleeding gastroscopic varices requiring emergency endoscopic surgical treatment. However, in the routine left lateral position the treatment was interfered with by a fresh blood clot obscuring the gastric fundus. We were able to expose the gastric fundus by turning the patient to the right lateral position and eventually successfully treated the patient. This provides a new idea for the endoscopic treatment of acute gastric varices and may improve the success rate of treatment.
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References
[1] Reverter, Tandon, Augustin, et al., A MELD-Based Model to Determine Risk of Mortality Among Patients With Acute Variceal Bleeding[J], Gastroenterology, 2014, 146(2):412-419.e413.
[2] Magaz, Baiges, and Hernández-Gea, Precision medicine in variceal bleeding: Are we there yet?[J], Journal of Hepatology, 2020, 72(4):774-784
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Chen S, Geng Q, Lin Y, Ye Y, Yang Q. Gastroscopic treatment of acute gastric variceal rupture through the right lateral position. 10797/2024


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Publication history

Received: 14/09/2024

Accepted: 17/09/2024

Online First: 04/10/2024

Published: 12/12/2025

Article Online First time: 20 days

Article editing time: 454 days


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