Artículos de revistas
Fundal variceal bleeding treated with balloon occluded endoscopic inyection sclerotherapy. Report of two cases Escleroterapia endoscópica asistida mediante balón oclusivo como tratamiento de varices gástricas cardiofúndicas de alto riesgo: Reporte de dos
Fecha
2017Registro en:
Revista Medica de Chile, Volumen 145, Issue 10, 2018, Pages 1336-1341
07176163
00349887
10.4067/S0034-98872017001001336
Autor
da Costa, Daniel
Montenegro, Cristián
Palavecino, Patricio
Lobos, Germán
Cermenati, Tomás
Poniachik Teller, Jaime
Institución
Resumen
© 2017, Sociedad Medica de Santiago. All rights reserved. Management of gastrointestinal bleeding caused by fundal varices is particularly difficult to manage. The options are: transjugular intrahepatic portosystemic shunt (TIPS), endoscopic injection of cyanoacrylate or balloon-occluded retrograde transvenous obliteration (BRTO). We report a 63 year-old male with a cirrhosis caused by hepatitis C and a 66 year-old female with a cirrhosis caused by a non-alcoholic steatohepatitis. Both patients had a gastrointestinal bleeding caused by fundal varices and were treated with sclerotherapy with cyanoacrylate assisted with BRTO. Flow was interrupted in the gastro-renal shunt by a femoral access in both patients. The male patient had a new bleeding two months later and died. In the female patient an endosonography performed nine months after the procedure showed absence of remaining varices.