Loop combined endoscopic clip and cyanoacrylate injection to treat severe gastric varices with spleno-renal shunt

Post written by Ping Li, MD, from the Department of Gastroenterology and Hepatology, Beijing Ditan Hospital, Capital Medical University, Beijing, China.


We employed a new method to obstruct severely isolated gastric varices with a massive spleno-renal shunt and to reduce embolic risk. This novel method did not only successfully prevent recurrent hemorrhage but also reduced the amount of cyanoacrylate to avoid fatal embolism. Additionally, this method was associated with low costs. Moreover, for our new method strict patient selection is not needed, and radioactive damage to operators can be avoided compared with TIPS and BRTO. We can modify this new method further to operate easier.

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The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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