Successful treatment of anastomotic jejunal varices with N-butyl-2-cyanoacrylate (Histoacryl): single-center experience

Gubler, Christoph; Glenck, Michael; Pfammatter, T.; Bauerfeind, Peter

doi:10.1055/s-0032-1309834

Cited by 20 publications

(9 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…argon plasma coagulation, heater probe coagulation, and high‐frequency coagulation), drug injection (e.g. polidocanol, histoacryl, hypertonic Na‐epinephrine, and anhydrous ethanol), and the topical spray of drugs (e.g. thrombin).…”

Section: Commentarymentioning

confidence: 99%

Clinical Practice Guideline for Enteroscopy

Yamamoto

Ogata

Matsumoto

et al. 2017

Digestive Endoscopy

135

158

View full text Add to dashboard Cite

Management of small bowel diseases has evolved since the advent of capsule endoscopy (CE) and balloon‐assisted enteroscopy (BAE). One of the most common indications for enteroscopy is obscure gastrointestinal bleeding (OGIB), followed by small bowel stenosis, tumors, and inflammatory bowel disease. Although enteroscopes have been regarded as useful tools, correct guidelines are required to ensure that we manipulate these enteroscopes safely and efficiently in clinical practice. Herein, the Japanese Gastroenterological Endoscopy Society has developed ‘Clinical Practice Guidelines for Enteroscopy’ in collaboration with the Japanese Society of Gastroenterology, the Japanese Gastroenterological Association, and the Japanese Association for Capsule Endoscopy. These guidelines are based on the evidence available until now, but small bowel endoscopy is a relatively new technology, so the guidelines include recommendations based on a consensus reached among experts when the evidence has not been considered sufficient. These guidelines were not designed to be disease‐based, but focus on how we should use small bowel CE and BAE in everyday clinical practice.

show abstract

Section: Commentarymentioning

confidence: 99%

Clinical Practice Guideline for Enteroscopy

Yamamoto

Ogata

Matsumoto

et al. 2017

Digestive Endoscopy

135

158

View full text Add to dashboard Cite

show abstract

“…Various medical treatments, such as interventional radiology and surgery, have been used to control bleeding from anastomotic varices after choledochojejunostomy; however, there is no best treatment strategy for anastomotic varices. [36,37,39,40] Endoscopic treatment is difficult for this condition and endoscopic obliterative therapy with n-butyl-2cyanoacrylate is the preferred treatment for this type of varix [41,42].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic obliterative therapy with n-butyl-2-cyanoacrylate for gastrointestinal varices

Sato¹

2016

Gastroenterol Hepatol Endosc

View full text Add to dashboard Cite

Aims: To evaluate the utility of endoscopic obliterative therapy with n-butyl-2-cyanoacrylate (tissue adhesives) for gastrointestinal varices and to investigate the incidence of serious complications.Methods: Endoscopic obliterative therapy with n-butyl-2-cyanoacrylate was performed on 228 gastrointestinal variceal patients; 221 gastric varices, 5 duodenal varices, and 2 anastomotic varices after choledochojejunostomy. Endoscopic therapy was performed under fluoroscopy using 70% or 83% cyanoacrylate diluted with 5% Lipiodol.Results: Endoscopic obliterative therapy with cyanoacrylate for gastrointestinal varices was successful in all 228 cases. The incidence of serious complications was 4/228 (1.8%), including two cases of splenic infarction, one of pulmonary embolism, and one of an inflammatory tumor of the pancreatic tail, and all these 4 cases for gastric varices.Conclusions: Endoscopic obliterative therapy with cyanoacrylate is a useful and relatively safe method for treatment of bleeding gastrointestinal varices. Nonetheless, careful attention must be paid to avoid potentially serious complications.

show abstract

“…Vanishing of varices (completely replaced by CA) was confirmed by IDUS, and he could be discharged. Jejunal variceal bleeding is quite rare, and there are no reports that show the detailed method 1–5 . This is the first report using short single‐balloon endoscope, IDUS, sandwich method of 5% glucose solution and the combination injection of 75% CA and 5% EO for jejunal varices bleeding.…”

Section: Brief Explanationmentioning

confidence: 97%