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Escleroterapia endoscópica asistida mediante balón oclusivo como tratamiento de varices gástricas cardiofúndicas de alto riesgo: reporte de dos casos y revisión de la literatura / Fundal variceal bleeding treated with balloon occluded endoscopic inyection sclerotherapy: report of two cases
Costa, Daniel da; Montenegro, Cristián; Palavecino, Patricio; Lobos, Germán; Cermenati, Tomás; Poniachik, Jaime.
  • Costa, Daniel da; Universidad de Chile. Facultad de Medicina. Escuela de Postgrado. Santiago. CL
  • Montenegro, Cristián; Universidad de Chile. Facultad de Medicina. Escuela de Postgrado. Santiago. CL
  • Palavecino, Patricio; Universidad de Chile. Facultad de Medicina. Escuela de Postgrado. Santiago. CL
  • Lobos, Germán; Universidad de Chile. Facultad de Medicina. Escuela de Postgrado. Santiago. CL
  • Cermenati, Tomás; Universidad de Chile. Facultad de Medicina. Escuela de Postgrado. Santiago. CL
  • Poniachik, Jaime; Universidad de Chile. Facultad de Medicina. Escuela de Postgrado. Santiago. CL
Rev. méd. Chile ; 145(10): 1336-1341, oct. 2017. tab, graf
Article in Spanish | LILACS | ID: biblio-902448
ABSTRACT
Management of gastrointestinal bleeding caused by fundal varices is particularly difficult to manage. The options are transjugular intrahepatic portosystemic shunt (TIPS), endoscopic injection of cyanoacrylate or balloon-occluded retrograde transvenous obliteration (BRTO). We report a 63 year-old male with a cirrhosis caused by hepatitis C and a 66 year-old female with a cirrhosis caused by a non-alcoholic steatohepatitis. Both patients had a gastrointestinal bleeding caused by fundal varices and were treated with sclerotherapy with cyanoacrylate assisted with BRTO. Flow was interrupted in the gastro-renal shunt by a femoral access in both patients. The male patient had a new bleeding two months later and died. In the female patient an endosonography performed nine months after the procedure showed absence of remaining varices.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Esophageal and Gastric Varices / Sclerotherapy / Cyanoacrylates / Balloon Occlusion / Gastrointestinal Hemorrhage Type of study: Etiology study / Risk factors Limits: Aged / Female / Humans / Male Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2017 Type: Article Affiliation country: Chile Institution/Affiliation country: Universidad de Chile/CL

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Full text: Available Index: LILACS (Americas) Main subject: Esophageal and Gastric Varices / Sclerotherapy / Cyanoacrylates / Balloon Occlusion / Gastrointestinal Hemorrhage Type of study: Etiology study / Risk factors Limits: Aged / Female / Humans / Male Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2017 Type: Article Affiliation country: Chile Institution/Affiliation country: Universidad de Chile/CL