Cyanoacrylate

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Upper Gastrointestinal Tract - Bleeding (5 of...

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The video clip displays the APC stopping the hemorrhage. Endoscopic variceal ligation is safer and more efficacious than sclerotherapy as initial treatment of bleeding esophageal varices, whereas...

Gastric Varices (8 of 25)

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Multiple large gastric varices can be seen in the gastric cardia and fundus. The treatment chosen for this patient was intravariceal injection with cyanoacrylate. After volume resuscitation and blood...

Gastric Varices - Endoscopic Ablation With Cyanoacrylate...

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This 49 year-old female was hospitalized in a social security hospital in El Salvador, She was discharged from the hospital on day 10, after that visit us for a therapeutical endoscopy. An upper...

Gastric Varices - Endoscopic Ablation With Cyanoacrylate...

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Although gastric varices tend to bleed less frequently than esophageal varices, the morbidity and mortality associated with gastric variceal hemorrhage are substantial. Gastric varices are dilated...

Gastric Varices - Endoscopic Ablation With Cyanoacrylate...

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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.

Gastric Varices - Endoscopic Ablation With Cyanoacrylate...

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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...

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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...

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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...

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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...

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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...