Abstract：
UNASSIGNED: Ectopic embolism caused by cyanoacrylate glue for the treatment of gastric varices with obvious spontaneous portosystemic shunts is a serious complication of endoscopic therapy. This study was performed to investigate the safety and therapeutic effect of EUS-guided coil placement and cyanoacrylate glue injection for gastric varices with obvious spontaneous portosystemic shunts.
UNASSIGNED: Six patients with gastric variceal bleeding and obvious spontaneous portosystemic shunts were included in this study. We evaluated the success rate of variceal occlusion after intraoperative embolization, the postoperative rebleeding rate at 48 h and 2 weeks posttreatment, and the incidence of ectopic embolism and other adverse events. Gastroscopy and computed tomography portal venography (CTPV) were performed 7 months later.
UNASSIGNED: All patients underwent successful coil placement and cyanoacrylate glue injection under EUS guidance. The blood flow was confirmed by Doppler examination, the target vessels were successfully blocked, and no rebleeding had occurred at 48 h or 2 weeks after endoscopic treatment. Gastroscopy was repeated 7 months after endoscopic treatment, revealing local ulcer formation. CTPV was also repeated 7 months after endoscopic treatment, showing that the coils were present in the target vessels with no displacement, the portosystemic shunt vessels were occluded, and no ectopic embolization had occurred.
UNASSIGNED: The coil placement combined with cyanoacrylate glue embolism is a safe and effective method for patients with gastric variceal bleeding and obvious spontaneous portosystemic shunts.
UNASSIGNED: Six patients with gastric variceal bleeding and obvious spontaneous portosystemic shunts were included in this study. We evaluated the success rate of variceal occlusion after intraoperative embolization, the postoperative rebleeding rate at 48 h and 2 weeks posttreatment, and the incidence of ectopic embolism and other adverse events. Gastroscopy and computed tomography portal venography (CTPV) were performed 7 months later.
UNASSIGNED: All patients underwent successful coil placement and cyanoacrylate glue injection under EUS guidance. The blood flow was confirmed by Doppler examination, the target vessels were successfully blocked, and no rebleeding had occurred at 48 h or 2 weeks after endoscopic treatment. Gastroscopy was repeated 7 months after endoscopic treatment, revealing local ulcer formation. CTPV was also repeated 7 months after endoscopic treatment, showing that the coils were present in the target vessels with no displacement, the portosystemic shunt vessels were occluded, and no ectopic embolization had occurred.
UNASSIGNED: The coil placement combined with cyanoacrylate glue embolism is a safe and effective method for patients with gastric variceal bleeding and obvious spontaneous portosystemic shunts.
摘要：
UNASSIGNED：氰基丙烯酸酯胶引起的异位栓塞，用于治疗具有明显自发性门体分流的胃底静脉曲张，是内窥镜治疗的严重并发症。本研究旨在探讨EUS引导下的线圈放置和氰基丙烯酸酯胶注射治疗有明显自发性门体分流的胃底静脉曲张的安全性和治疗效果。
UNASSIGNED：本研究包括6例胃静脉曲张破裂出血和明显的自发性门体分流患者。我们评估了术中栓塞后静脉曲张闭塞的成功率，治疗后48h和2周的术后再出血率，异位栓塞等不良事件的发生率。7个月后进行胃镜检查和CT门静脉造影（CTPV）。
UNASSIGNED：所有患者均在EUS指导下成功放置线圈并注射氰基丙烯酸酯胶。通过多普勒检查证实了血流，目标船只被成功封锁，内镜治疗后48h或2周后未发生再出血。内镜治疗后7个月重复胃镜检查,显示局部溃疡形成。CTPV也在内镜治疗后7个月重复，显示线圈存在于目标血管中，没有位移，门体分流血管闭塞,未发生异位栓塞。
UNASSIGNED：对于胃底静脉曲张出血和明显的自发性门体分流患者，线圈放置结合氰基丙烯酸酯胶栓塞是一种安全有效的方法。
UNASSIGNED：本研究包括6例胃静脉曲张破裂出血和明显的自发性门体分流患者。我们评估了术中栓塞后静脉曲张闭塞的成功率，治疗后48h和2周的术后再出血率，异位栓塞等不良事件的发生率。7个月后进行胃镜检查和CT门静脉造影（CTPV）。
UNASSIGNED：所有患者均在EUS指导下成功放置线圈并注射氰基丙烯酸酯胶。通过多普勒检查证实了血流，目标船只被成功封锁，内镜治疗后48h或2周后未发生再出血。内镜治疗后7个月重复胃镜检查,显示局部溃疡形成。CTPV也在内镜治疗后7个月重复，显示线圈存在于目标血管中，没有位移，门体分流血管闭塞,未发生异位栓塞。
UNASSIGNED：对于胃底静脉曲张出血和明显的自发性门体分流患者，线圈放置结合氰基丙烯酸酯胶栓塞是一种安全有效的方法。
