Cyanoacrylate
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
Successful obliteration with hardening of variceal bed. A follow up endoscopy one week later was performed. It is essential to define the endpoint of treatment, as well as have a standardized protocol...
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
The patient has not had any further episodes of gastrointestinal bleeding in the months since her procedure. Histoacryl is highly effective for the treatment of bleeding gastric varices. The treatment...
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
Conceptually, cyanoacrylate glue provides an ideal endoscopic treatment for gastric varices. Native cyanoacrylate is a liquid with a consistency similar to water and therefore lends itself to intravariceal...
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
Hemostatic methods that use standard therapy for esophageal varices have not been found effective for gastric varices. Due to their large size and extensive distribution, it is difficult if not impossible...
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
The image and the video clips show the third shot of histoacryl. The dilution ratio increases if Lipiodol is used to flush the injector before injection. The rationale for diluting Histoacryl with...
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
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...
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
The image and the video clip show the status of histoacryl injection. When Histoacryl is mixed in a ratio of 0.5 cm3 (volume per tube of Histoacryl) to 0.8 cm' Lipiodol, hardening is delayed by approximately...
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
N-butyl-2-cyanoacrylate (Histoacryl) is a watery substance that polymerizes and hardens instantaneously when it comes into contact with blood. This unique property makes it attractive for use in obliterating...
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
Gastric varices (GV) occur in 20% of patients with portal hypertension. GV located in the fundus (FV) tend to cause serious bleeding and are reported to be less responsive to endoscopic treatment....
Gastric Varices - Endoscopic Ablation With Cyanoacrylate...
In the same day a therapeutic endoscopy a histoacryl injection is programed, under general anesthesia with endotracheal tube is achieved. Stigmata of recent bleeding is observed.