ABSTRACT
The present retrospective study aimed to determine the safety and efficacy of using butyl cyanoacrylate to control bleeding from gastric fundal varices. A total of 249 patients presented with bleeding from fundal varices underwent endoscopic injection of cyanoacrylate for hemostasis. Indications for treatment included chronic liver disease and portal hypertension, hematemesis and/or melena and gastric fundal varices at index endoscopy showing active bleeding or an overlying clot with no endoscopic evidences of bleeding from other sources. Injection therapy was administered as the first active measure. Cyanoacrylate was mixed with lipiodol [1:1] and injected strictly intravariceal through a Teflon injection device. The study concluded that cyanoacrylate injection to control gastric fundal variceal bleeding has been found to be remarkably safe and highly effective. An experienced team is always required