The image and the video clips show the second shot of histoacryl. Endoscopic injection of N-butyl-2-cyanoacrylate for gastric variceal bleeding was first reported in 1986. The tissue glue polymerizes on contact with blood, solidifying within the varix instantly, thus obliterating the varix and preventing bleeding. The glue cast will eventually slough off weeks to months later. Because of its excellent efficacy, N-butyl-2-cyanoacrylate is considered to be the optimal therapy for FV bleeding by many clinicians worldwide.
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