The site of the last bleeding, besides of using glue and argon plasma, the hemostasis is reinforced with rubber bands. Endoscopic injection with tissue adhesives such as histoacryl can effectively control active bleeding. However, gastric varices cannot disappear due to the unsatisfactory control of inflammation and fibrous organization caused by adhesives. Although endoscopic variceal ligation therapy (EVL) has shown its benefit for esophageal varices, it cannot achieve a similar success in the management of gastric varices.
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