Contrast-Enhanced Endoscopic Ultrasound-Guided Coil and Glue Injection for Bleeding Gastric/Ectopic Varices

Rana, Surinder Singh; Sharma, Ravi; Dhalaria, Lovneet; Gupta, Rajesh

doi:10.1016/j.tige.2021.01.001

Cited by 5 publications

(3 citation statements)

References 11 publications

(10 reference statements)

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“…Contrast injection has also been used to guide EUS-guided therapy in gastric and rectal varices for direct obliteration of the feeding vessels. [ 105 ] SonoVue contrast was injected prior to coiling to delineate the perforator feeding vessel. Complete obliteration could be achieved in all 6 patients in this study.…”

Section: Role Of Eus In Management Of Varicesmentioning

confidence: 99%

Diagnostic and interventional EUS in hepatology: An updated review

2022

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EUS has become an increasingly used diagnostic and therapeutic modality in the armamentarium of endoscopists. With ever-expanding indications, EUS is being used in patients with liver disease, for both diagnosis and therapy. EUS is playing an important role in providing additional important information to that provided by cross-sectional imaging modalities such as computerized tomography and magnetic resonance imaging. Domains of therapy that were largely restricted to interventional radiologists have become accessible to endosonologists. From liver biopsy and sampling of liver lesions to ablative therapy for liver lesions and vascular interventions for varices, there is increased use of EUS in patients with liver disease. In this review, we discuss the various diagnostic and therapeutic applications of EUS in patients with various liver diseases.

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Section: Role Of Eus In Management Of Varicesmentioning

confidence: 99%

Diagnostic and interventional EUS in hepatology: An updated review

2022

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“…9 There is ample evidence to support the use of contrast-enhanced, EUS-guided coiling and glue injection in the treatment of gastric or ectopic varices associated with portal hypertension. 10 The use of contrast-enhanced, harmonic EUS has, therefore, further widened the horizon of indications and enhanced diagnostic performance of EUS in these conditions. The advent of EUS-guided liver biopsy (EUS-LB) in recent years has further widened the ever expanding diagnostic and therapeutic potential of EUS in liver diseases.…”

Section: Introductionmentioning

confidence: 99%

EUS-Guided versus Percutaneous Image-Guided Liver Biopsy: A Battle for Supremacy!

Mishra

Bush

Rana

2021

Journal of Digestive Endoscopy

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Liver biopsy has been the gold standard investigation for diagnosing and staging liver diseases. Image-guided percutaneous liver biopsy is a time-tested technique for obtaining the liver tissue in diffuse liver diseases. However, it is contraindicated in patients with ascites, altered mental status, skin infections, coagulopathy, and thrombocytopenia. It is associated with adverse events including postprocedure pain, bleeding, and pneumothorax. Transvenous liver biopsy can be performed in most cases with these contraindications, but it is an expensive technique and has its own inherent risks. Endoscopic ultrasound (EUS)-guided liver biopsy (EUS-LB) is a relatively new technique that has shown promising results and seems to have a potential of replacing percutaneous liver biopsy. In this news and views, we discuss the results of a randomized controlled trial (RCT) comparing EUS-guided and percutaneous techniques of liver biopsy. This RCT reported that percutaneous technique is superior in terms of diagnostic adequacy and total expenditure without any significant adverse effects compared with EUS-LB. EUS-LB is a promising technique that needs to be further explored in terms of appropriate situations in which it can be preferred over percutaneous or transvenous routes.

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“…On multivariate analysis, a lower recurrence was associated with previous B-blockers therapy (OR 0.18; 95% CI 0.02 to 0.78; p =.045), while a previous CYA attempt represented a high-risk factor for recurrence (OR 10.2; 95% CI 1.08 to 110; p =.044). 1 2 3…”

mentioning

confidence: 99%

Successful Technical Approach with Very Low Recurrence Rate after Endoscopic Ultrasound-guided Coils Deployment and Cyanoacrylate Embolization of Gastric Varices: An Eight-year Real World Study

Robles-Medranda,

Del Valle,

Egas-Izquierdo

et al. 2024

ESGE Days 2024

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Contrast-Enhanced Endoscopic Ultrasound-Guided Coil and Glue Injection for Bleeding Gastric/Ectopic Varices

Cited by 5 publications

References 11 publications

Diagnostic and interventional EUS in hepatology: An updated review

Diagnostic and interventional EUS in hepatology: An updated review

EUS-Guided versus Percutaneous Image-Guided Liver Biopsy: A Battle for Supremacy!

Successful Technical Approach with Very Low Recurrence Rate after Endoscopic Ultrasound-guided Coils Deployment and Cyanoacrylate Embolization of Gastric Varices: An Eight-year Real World Study

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