Korean Journal of Gastrointestinal Endoscopy 1995;15(1): 27-32.
원저 : 주사 경화요법에 실패한 위정맥류 출혈의 n-butyl-2-cyanoacrylate ( Histoacrylⓡ ) 치료효과 ( Original Articles : The Effect of Histoacrylⓡ for Gastric Variceal Bleeding Which Failed by Ethanolamine Oleate Injection Sclerotherapy )
현진해, 강동훈 (Jin Hai Hyun and Dong Hoon Kang)
Abstract
Treatment modalities of gastric variceal bleeding are endoscopic injection sclero- therapy, endoscopic variceal ligation, combined above two method, operation, TIPS, and percutaneous transhepatic embolization. Recently, Histoacryl was introduced as a new sclerosant of acute variceal bleeding failed by others. So, we studied 18 cases of acute gastric variceal bleeding uncontrolled by EIS using Ethanolamine oleate. Intravariceal injection of Histoacryl is considered as a safe and effective method for hemostasis of intractable acute gastric variceal bleeding uncontrolled by other sclerosants. But, it is important that endoscopist should be in harmony with assistant at injection of Histoacryl. And its shooting speed should be fast because of clogging within the catheter. It is necessary to do long term study for evaluation of eradication effect in acute gastric variceal bleeding.
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