Sclerotherapy of gastric varices with histoacryl

ABSTRACT

Sclerotherapy was performed for 19 patients with gastroesophageal varices and one with isolated gastric varcies along one to two sessions using one to 3 ampoules of Histoacryl for each varices. The efficacy of Histoacryl in obliteration of the varices either during active bleeding or elective injection was studied. Three patients with active bleeding from gastric varices were injected with Histoacryl and bleeing was successfully stopped without incidence of rebleeding. The incidence of rebleeding and/or other complications during follow-up period that ranged between 5 and 10 months [mean 7.75 +/- 1.99] were assessed. From these results it can be concluded that Histoacryl is an effective line of treatment in definitive control of acute gastric variceal bleeding, in elective obliteration of varices and in prevention of rebleeding in all patients. It has no serious complications when used by expert hands