The Role of Therapeutic Endoscopy in Patients With Cirrhosis-Related Causes of Gastrointestinal Bleeding

Overview

Journal Curr Gastroenterol Rep

Specialty Gastroenterology

Date 2018 Jun 11

PMID 29886513

Citations 2

Authors

Camille A Kezer

Neil Gupta

Affiliations

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Abstract

Purpose Of Review: This article aims to review current therapeutic endoscopic treatments available for the management of gastrointestinal bleeding related to cirrhosis.

Recent Findings: Endoscopic band ligation is an effective treatment for primary prophylaxis, acute bleeding, and secondary prophylaxis of esophageal varices as well as for acute bleeding and secondary prophylaxis of select gastric varices. Sclerotherapy is a treatment option for acute bleeding and secondary prophylaxis of esophageal varices when band ligation is technically difficult. Cyanoacrylate glue injection is an effective treatment for acute bleeding of gastric and ectopic varices. Argon plasma coagulation is first-line and radiofrequency ablation is second-line treatment for chronic bleeding secondary to gastric antral vascular ectasia. There are a variety of endoscopic treatment modalities for cirrhosis-related gastrointestinal bleeding, and the appropriate therapy depends on the location of the bleed, history or presence of acute bleeding, and risk factors for intervention-related adverse events.

Citing Articles

Endoscopic management of bleeding ectopic varices: multicentric retrospective case series.

El-Nady M, Wahba M, Ebada O, Gabr M, Essam K, Abdellatef A Prz Gastroenterol. 2025; 19(3):271-276.

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Albumin‑bilirubin grade and INR for the prediction of esophagogastric variceal rebleeding after endoscopic treatment in cirrhosis.

Li F, Wang T, Liang J, Qian B, Tang F, Gao Y Exp Ther Med. 2023; 26(5):501.

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Progress in Endoscopic and Interventional Treatment of Esophagogastric Variceal Bleeding.

Liu B, Li G Dis Markers. 2022; 2022:2940578.

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