PDF(Pubmed)
Abstract：
Embolization of gastric varices with cyanoacrylate glue is the treatment of choice for digestive bleeding due to rupture of gastric varices. Gastrointestinal bleeding due to the expulsion of cyanoacrylate glue after gluing of gastric varices is a rare complication. We here report the case of a 65-year-old female patient on cirrhosis and decompensation treatment, undergoing cyanoacrylate glue of gastric varices 3 months before her admission for upper gastrointestinal bleeding; oesogastroduodenal fibroscopy objectified oesophageal varices grade 2 with ulcerated gastric varices and active bleeding due to the expulsion of cyanoacrylate glue. The patient received blood transfusion and sandostatin as well as cyanoacrylate gluing of GOV2 with no complications. Gastrointestinal bleeding after expulsion of cyanoacrylate glue is a serious complication of gluing. Few cases have been described in the literature that required, most often, endoscopic hemostasis.
摘要：
用氰基丙烯酸酯胶对胃静脉曲张进行栓塞是由于胃静脉曲张破裂引起的消化道出血的首选治疗方法。胃底静脉曲张胶粘后，由于氰基丙烯酸酯胶的排出而引起的胃肠道出血是一种罕见的并发症。我们在这里报告一例65岁的女性患者的肝硬化和失代偿治疗，因上消化道出血入院前3个月接受氰基丙烯酸酯胃底静脉曲张胶治疗;胃十二指肠纤维镜检查明确了2级食管静脉曲张,溃疡胃底静脉曲张和活动性出血,原因是氰基丙烯酸酯胶排出.患者接受输血和善待他汀以及GOV2的氰基丙烯酸酯胶合，无并发症。氰基丙烯酸酯胶排出后消化道出血是胶合的严重并发症。文献中很少描述需要的案例，大多数情况下,内镜止血.
