Histoacryl glue is used increasingly for the treatment of gastric and ectopic varices, and there is experience in its use for oesophageal varices. Clinical Cases Authors. Currently, therapeutic strategies for gastric variceal bleeding include TIPS, cyanoacrylate endoscopic obliterative therapy and B-RTO, but the optimal management of bleeding gastric varices remains controversial due to a lack of randomized, controlled trial. Glue for gastric varices. outcomes and complications of Histoacryl® glue injec-tion for acute gastric variceal hemorrhage. However, its long-term efficacy is poorly described. This review of the literature describes To determine the factors associated with clinical outcomes and complications of Histoacryl® glue injection for acute gastric variceal hemorrhage.Patients who presented to the Siriraj Gastrointestinal Endoscopy Center with active gastric variceal bleeding and were admitted for treatment between April 2008 and October 2011 were selected retrospectively for study inclusion. Bleeding from FV. The most common presentations were hematemesis (71.1%), melena (12.2%), and … Section. Acute gastric variceal bleeding is a medical emergency requiring intensive care (Figure 1). Case Type. To perform this treatment safely and effectively, the Histoacryl should be diluted with 5% Lipiodol (1:1) to lengthen the cyanoacrylate polymer and allow fluoroscopic monitoring. The choice of treatment for varic\ ose bleeding during pregnancy has been described in the literature based on the elastic ligature. (2013) 48:10 (1198-204). It is an effective treatment, yet numerous reports of complications have accumulated. A retrospective comparative study of histoacryl injection and banding ligation in the treatment of acute type 1 gastric variceal hemorrhage. As the varix is filled, bleeding stops and the glue spills from the rupture site - "Cyanoacrylate glue in gastric variceal bleeding." We report the second case, to our knowledge, of treatment of bleeding gastric varices by injection of histoacryl with good maternal and fetal development. We studied the immediate and long-term effects of Histoacryl glue injection as treatment for bleeding gastric varices in a large UK hospital. The mean age was 55.9 ± 13.9 (range: 15-88) years old, and 74.4% of the patients were male. A mixture of Histoacryl with with Lipiodol (0.8 mL in 0.5 mL) will be injected intra-variceal.l. Figure 1 The Histoacryl –Lipiodol mixture (1ml) is injected intravariceally. RESULTS: A total of 90 patients underwent Histoacryl® injection to treat bleeding gastric varices. Histoacryl glue is used increasingly for the treatment of gastric and ectopic varices, and there is experience in its use for oesophageal varices. Pulmonary embolism after histoacryl injection for bleeding gastric varices. METHODS: Patients who presented to the Siriraj Gastrointestinal Endoscopy Center with active gastric variceal bleeding and were admitted for treatment between April 2008 and October 2011 were selected retrospectively for study inclusion. The tissue glue N-butyl-2-cyanoacrylate has been successfully used in many countries for the treatment of gastric fundal variceal bleeding.However, significant rebleeding rates and serious complications including embolism have been reported due to differences in injection techniques. 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