Clinical Endoscopy

Focused Review Series: Endoscopic Hemostasis: An Overview of Principles and Recent Applications

Endoscopic Therapy and Radiologic Intervention of Acute Gastroesophageal Variceal Bleeding: Jeong Eun Song, Byung Seok Kim; Clin Endosc 2019;52(5):407-415. Published online September 30, 2019; DOI: https://doi.org/10.5946/ce.2019.178

Acute gastroesophageal variceal hemorrhage is a dreaded complication in patients with liver cirrhosis. Endoscopic therapy and radiologic intervention for gastroesophageal bleeding have rapidly developed in the recent decades. Endoscopic treatment is initially performed to stop variceal hemorrhage. For the treatment of esophageal variceal bleeding, endoscopic variceal ligation (EVL) is considered the endoscopic treatment of choice. In cases of gastric variceal hemorrhage, the type of gastric varices (GVs) is important in deciding the strategy of endoscopic treatment. Endoscopic variceal obturation (EVO) is recommended for fundal variceal bleeding. For the management of gastroesophageal varix type 1 bleeding, both EVO and EVL are available treatment options; however, EVO is preferred over EVL. If endoscopic management fails to control variceal hemorrhage, radiologic interventional modalities could be considered. Transjugular intrahepatic portosystemic shunt is a good option for rescue treatment in refractory variceal bleeding. In cases of refractory hemorrhage of GVs in patients with a gastrorenal shunt, balloon-occluded retrograde transvenous obliteration could be considered as a salvage treatment.

Citations

Citations to this article as recorded by

Transjugular intrahepatic portosystemic shunt for esophagojejunal variceal bleeding after total gastrectomy: A case report
Sang Un Kim, Jihoon Hong
Radiology Case Reports.2024; 19(8): 3231. CrossRef
Efficacy of early re-ligation after endoscopic gastric glue injection combined with endoscopic variceal ligation in preventing rebleeding of esophagogastric varices in patients with cirrhosis
Hui-Min Liu, Zhi-Bin Gong
World Chinese Journal of Digestology.2022; 30(17): 748. CrossRef
The Role of Interventional Radiology in Esophageal Varices and Hematemesis: Review Article
Qaed Salem Alhammami, Maisa Hamad Freaj Alanazi, Shahad Khalid A Bedaiwi, Ghazir Aneed N Alruwili, Shouq Fayed Khalaf Alanazi
Archives of Pharmacy Practice.2022; 13(4): 7. CrossRef
Comprehensive treatment of patients with gastric variceal bleeding
S.M. Chooklin, S.S. Chuklin
EMERGENCY MEDICINE.2022; 18(8): 14. CrossRef

8,252 View
320 Download
1 Web of Science
4 Crossref

First
Prev
Page of 1
Next
Last

Search