EUS-guided coiling of rectal varices

Mukkada, Roy J.; Mathew, Pradeep G.; Jose, ValenzuelaMaria; Chettupuzha, Antony; Antony, Rajesh; Koshy, Abraham

doi:10.1016/j.vgie.2017.05.005

Cited by 10 publications

(8 citation statements)

References 11 publications

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“…1 Surgery, however, has been associated with mortality rates as high as 80%. 4 Although EUS-guided coil injection has been described in the past, 5,6 this usually entails injection of coils into the variceal nests. There are limited data highlighting this technique of targeting the perforator vein to promote hemostasis and variceal thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Targeting the perforator vein: EUS-guided coil embolization for the treatment of bleeding rectal varices

2020

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Section: Discussionmentioning

confidence: 99%

Targeting the perforator vein: EUS-guided coil embolization for the treatment of bleeding rectal varices

2020

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“…19 Mukkada et al illustrated in their case report EUS-guided coiling for a recurrent rectal varice bleeding. 20 Weilert et al combined coils and glue in their series. 21…”

Section: Rectal Varicesmentioning

confidence: 99%

“…Sharma et al used EUS-guided glue injection as a feasible alternative in rectal varices bleeding [ 19 ]. Mukkada et al illustrated in their case report EUS-guided coiling for a recurrent rectal varice bleeding [ 20 ]. Weilert et al combined coils and glue in their series [ 21 ].…”

Section: Rectal Varicesmentioning

confidence: 99%

Endoscopic Ultrasound-Guided Vascular Procedures: A Review

2020

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Since the 1980s, endoscopic ultrasound has advanced from being purely diagnostic to an interventional modality. The gastrointestinal tract offers an exceptional window for assessing the vascular structures in the mediastinum and in the abdomen. This has led to a rapidly growing interest in endoscopic ultrasound-controlled vascular interventions as a minimally invasive alternative to surgical and radiological procedures.

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“…[86][87][88][89] More recently, case reports on EUS-guided therapies using coils, CA injection and sodium tetradecyl sulfate (STS) injection have been used successfully in cases where standard endoscopic treatments failed or endovascular treatments were unavailable. [90][91][92] Head-to-head studies of different endoscopic modalities for the management of RV bleeding have not been completed; therefore, it is difficult to endorse one method over another. The final treatment decision should be made based on local resources and expertise.…”

Section: Rectal Varicesmentioning

confidence: 99%

Management of Gastric and Ectopic Varices: The Endoscopist's Perspective

Henry

2020

Digestive Disease Interventions

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Gastric and Ectopic varices are a rare complication of portal hypertension and represent a complex, heterogeneous system of vascular shunts. Bleeding from these shunts can be severe and life-threatening, with poorly standardized treatment algorithms to follow in their management. When bleeding occurs, it is important to follow standard diagnostic procedures for portal hypertensive bleeding and always obtain imaging of the underlying vascular anatomy to help guide therapy. Potential treatment methods will depend on these imaging findings as well as the location of the varix within the gastrointestinal tract. While gastric varices have more data to support specific treatment options, duodenal and rectal varices have only case reports and case series to guide their care. In addition, stomal varices are a very rare complication of portal hypertension and have limited data to support any one treatment modality. Gastric and ectopic varices are best approached in a multidisciplinary fashion after discussion with hepatologists and interventional radiologists to overcome the uncertainty in choosing a definitive therapy.

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EUS-guided coiling of rectal varices

Cited by 10 publications

References 11 publications

Targeting the perforator vein: EUS-guided coil embolization for the treatment of bleeding rectal varices

Targeting the perforator vein: EUS-guided coil embolization for the treatment of bleeding rectal varices

Endoscopic Ultrasound-Guided Vascular Procedures: A Review

Management of Gastric and Ectopic Varices: The Endoscopist's Perspective

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