Endoscopic Doppler US-guided injection therapy for gastric varices: case report

Battaglia, Giorgio; Buracco, Paolo; Morbin, T.; Ancona, Ermanno

doi:10.1067/mge.2003.164

Cited by 15 publications

(9 citation statements)

References 11 publications

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“…In the last years, EUS is continuously emerging as a therapeutic method for the management of upper GI varices, as guidance for injection therapy and coiling, or their combination. There are reports demonstrating feasibility, efficacy, and low complication rates of injection therapy for upper GI varices with the aid of EUS/Doppler, where EUS/Doppler was mostly used to detect and visualize the location for therapy, which was thereafter delivered through a standard forward-viewing endoscope [12, 27]. …”

Section: Resultsmentioning

confidence: 99%

“…There are various miniature ultrasound/Doppler probes available that can be introduced through a working channel of the standard endoscope [5, 6]. Studies describing the treatment with the aid of endoscopic Doppler ultrasound with Doppler probes or ultrasound miniature probes, which did not occur under real-time EUS guidance, are worth mentioning but were not included in this review [6–12]. Studies describing non-GI tract-related EUS-guided procedures were also not included.…”

Section: Methodsmentioning

confidence: 99%

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EUS-Guided Vascular Procedures: A Literature Review

Bokun

Grgurević

Kujundžić

et al. 2013

Gastroenterology Research and Practice

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Endoscopic ultrasound (EUS) is continuously stepping into the therapeutic arena, simultaneously evolving in different directions, such as the management of pancreatic and biliary diseases, celiac neurolysis, delivering local intratumoral therapy, and EUS-guided endosurgery. EUS-guided vascular procedures are also challenging, considering the variety of vascular pathology, proximity of the vascular structures to the GI tract wall, high resolution, and real-time guidance offering an attractive access route and precise delivery of the intervention. The literature on vascular therapeutic EUS demonstrates techniques for the management of upper GI variceal and nonvariceal bleeding, pseudoaneurysms, and coiling and embolization procedures, as well as the creation of intrahepatic portosystemic shunts. The paucity of studies, diversity of study designs, and the number of animal model studies hamper a systematic approach to the conclusion and decision making important to clinicians and healthcare policy makers. Nevertheless, theoretical benefits and findings up to date concerning technical feasibility, efficacy, and safety of the procedures drive further research and development in this rather young therapeutic arena.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

EUS-Guided Vascular Procedures: A Literature Review

Bokun

Grgurević

Kujundžić

et al. 2013

Gastroenterology Research and Practice

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“…The utility of Doppler EUS guidance during the GO procedure has also been questioned [6,11,26,27] because its usefulness may be counterbalanced by a longer and more complex procedure. Our results are in accordance with this unresolved issue as only a minority of practitioners (5.2%) systematically used this time-consuming technique.…”

Section: Discussionmentioning

confidence: 99%

Management of gastric varices

Weil

Cervoni

Farés

et al. 2016

European Journal of Gastroenterology & Hepatology

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“…Although frequently used, the sensitivity and specificity of this technique in predicting future GV hemorrhage has not been studied. EUS has been used both as a modality for injection guidance and as a tool for assessing adequacy of treatment [12][13][14]. Romero-Castro et al published a fivecase series of EUS guided cyanoacrylate injection into the perforating gastric veins.…”

Section: Discussionmentioning

confidence: 99%

“…Many endoscopists simply probe the treated varix and take induration as a sign of obliteration. Endoscopic ultrasound (EUS) has been used for the diagnosis of GV and guided tissue adhesive injection as well as assessment of variceal obliteration [11][12][13][14]. Finally, studies have been published using 64-row multi-detector CT (MDCT) to examine the portal vasculature, including a single case report from our institution using CT portography to help guide treatment with NBCA [15][16][17].…”

Section: Introductionmentioning

confidence: 98%