Cargando…

Endoscopic ultrasound-guided placement of coils and cyanoacrylate embolization in refractory gastric variceal bleeding: a pediatric case report

Background and study aims  Gastric variceal bleeding management is challenging, especially in the pediatric population. Endoscopic cyanoacrylate glue injection is considered the standard for management of gastric varices but it is associated with a high rebleeding rate. Endoscopic ultrasound (EUS)-g...

Descripción completa

Detalles Bibliográficos
Autores principales: Olmos, Juan I., Oleas, Roberto, Alcívar, Juan A., Baquerizo-Burgos, Jorge, Robles-Medranda, Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: © Georg Thieme Verlag KG 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6715434/
https://www.ncbi.nlm.nih.gov/pubmed/31475222
http://dx.doi.org/10.1055/a-0915-9532
_version_ 1783447226102579200
author Olmos, Juan I.
Oleas, Roberto
Alcívar, Juan A.
Baquerizo-Burgos, Jorge
Robles-Medranda, Carlos
author_facet Olmos, Juan I.
Oleas, Roberto
Alcívar, Juan A.
Baquerizo-Burgos, Jorge
Robles-Medranda, Carlos
author_sort Olmos, Juan I.
collection PubMed
description Background and study aims  Gastric variceal bleeding management is challenging, especially in the pediatric population. Endoscopic cyanoacrylate glue injection is considered the standard for management of gastric varices but it is associated with a high rebleeding rate. Endoscopic ultrasound (EUS)-guided placement of coils with cyanoacrylate is a newly available technique with a lower rebleeding rate but there are no reported cases using this technique in pediatric patients. We report on a 12-year-old child with liver cirrhosis and gastric variceal hemorrhage who was refractory to the endoscopic cyanoacrylate injection and in whom hemostasis was achieved without rebleeding following EUS-guided coiling and cyanoacrylate injection. Neither rebleeding nor varix reappearance was noted on 12-month follow-up. EUS-guided coiling and cyanoacrylate injection is safe and feasible in pediatric patients and could be considered as rescue therapy for treatment of refractory gastric variceal bleeding.
format Online
Article
Text
id pubmed-6715434
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher © Georg Thieme Verlag KG
record_format MEDLINE/PubMed
spelling pubmed-67154342019-09-01 Endoscopic ultrasound-guided placement of coils and cyanoacrylate embolization in refractory gastric variceal bleeding: a pediatric case report Olmos, Juan I. Oleas, Roberto Alcívar, Juan A. Baquerizo-Burgos, Jorge Robles-Medranda, Carlos Endosc Int Open Background and study aims  Gastric variceal bleeding management is challenging, especially in the pediatric population. Endoscopic cyanoacrylate glue injection is considered the standard for management of gastric varices but it is associated with a high rebleeding rate. Endoscopic ultrasound (EUS)-guided placement of coils with cyanoacrylate is a newly available technique with a lower rebleeding rate but there are no reported cases using this technique in pediatric patients. We report on a 12-year-old child with liver cirrhosis and gastric variceal hemorrhage who was refractory to the endoscopic cyanoacrylate injection and in whom hemostasis was achieved without rebleeding following EUS-guided coiling and cyanoacrylate injection. Neither rebleeding nor varix reappearance was noted on 12-month follow-up. EUS-guided coiling and cyanoacrylate injection is safe and feasible in pediatric patients and could be considered as rescue therapy for treatment of refractory gastric variceal bleeding. © Georg Thieme Verlag KG 2019-09 2019-08-29 /pmc/articles/PMC6715434/ /pubmed/31475222 http://dx.doi.org/10.1055/a-0915-9532 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Olmos, Juan I.
Oleas, Roberto
Alcívar, Juan A.
Baquerizo-Burgos, Jorge
Robles-Medranda, Carlos
Endoscopic ultrasound-guided placement of coils and cyanoacrylate embolization in refractory gastric variceal bleeding: a pediatric case report
title Endoscopic ultrasound-guided placement of coils and cyanoacrylate embolization in refractory gastric variceal bleeding: a pediatric case report
title_full Endoscopic ultrasound-guided placement of coils and cyanoacrylate embolization in refractory gastric variceal bleeding: a pediatric case report
title_fullStr Endoscopic ultrasound-guided placement of coils and cyanoacrylate embolization in refractory gastric variceal bleeding: a pediatric case report
title_full_unstemmed Endoscopic ultrasound-guided placement of coils and cyanoacrylate embolization in refractory gastric variceal bleeding: a pediatric case report
title_short Endoscopic ultrasound-guided placement of coils and cyanoacrylate embolization in refractory gastric variceal bleeding: a pediatric case report
title_sort endoscopic ultrasound-guided placement of coils and cyanoacrylate embolization in refractory gastric variceal bleeding: a pediatric case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6715434/
https://www.ncbi.nlm.nih.gov/pubmed/31475222
http://dx.doi.org/10.1055/a-0915-9532
work_keys_str_mv AT olmosjuani endoscopicultrasoundguidedplacementofcoilsandcyanoacrylateembolizationinrefractorygastricvaricealbleedingapediatriccasereport
AT oleasroberto endoscopicultrasoundguidedplacementofcoilsandcyanoacrylateembolizationinrefractorygastricvaricealbleedingapediatriccasereport
AT alcivarjuana endoscopicultrasoundguidedplacementofcoilsandcyanoacrylateembolizationinrefractorygastricvaricealbleedingapediatriccasereport
AT baquerizoburgosjorge endoscopicultrasoundguidedplacementofcoilsandcyanoacrylateembolizationinrefractorygastricvaricealbleedingapediatriccasereport
AT roblesmedrandacarlos endoscopicultrasoundguidedplacementofcoilsandcyanoacrylateembolizationinrefractorygastricvaricealbleedingapediatriccasereport