Endoscopic Ultrasound-guided Coil With Cyanoacrylate Injection Versus Balloon-Occluded Retrograde Transvenous Obliteration in Managing Patients With Gastric Varices
Presence of fundal gastric varices either: High risk for rupture; diagnosed by upper endoscopy i.e. large size or presence of red color spot.
Bleeding varices; diagnosed by upper endoscopy with good hemostasis achieved with endoscopic treatment.
Bleeding varices; diagnosed by upper endoscopy but hemostasis could not be achieved with endoscopic treatment.
Fundal gastric varices with Presence of contraindication for TIPS such as repeated attacks of hepatic encephalopathy due to Portosystemic shunt, Model of End Stage Liver disease score (MELD) \>18.
Fundal varices with catheterizable portosystemic shunt such as gastrorenal shunt or gastrocaval shunt.
You may not be if
Complete portal vein thrombosis
Splenic vein thrombosis
Intractable ascites (TIPS is better)
Uncontrolled esophageal varices (high risk for bleeding) and TIPS is better
Clareo Health | Endoscopic Ultrasound-guided Coil With Cyanoacrylate Injection Versus Balloon-Occluded Retrograde Transvenous Obliteration in Managing Patients With Gastric Varices
