Perforation After Endoscopic Injection Sclerotherapy for Bleeding Gastric Varices

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 1994 Oct 1

PMID 7809810

Authors

E K Ng

S C Chung

H T Leong

A K Li

Affiliations

Soon will be listed here.

Abstract

Bleeding from gastric varices is an uncommon condition for which hemostatic control is difficult and ill defined. Most clinicians tend to achieve hemostasis by endoscopic treatment because of the prevailing poor general condition of these patients. A case of fundal perforation following excessive injection sclerotherapy is reported and possible mechanism discussed.

References

Levy J, Khakoo S, Barton R, Vicary R . Fatal injection sclerotherapy of a bleeding peptic ulcer. Lancet. 1991; 337(8739):504. DOI: 10.1016/0140-6736(91)93452-f. View

Evans D, Jones D, Cleary B, Smith P . Oesophageal varices treated by sclerotherapy: a histopathological study. Gut. 1982; 23(7):615-20. PMC: 1419768. DOI: 10.1136/gut.23.7.615. View

Ayres S, Goff J, WARREN G . Endoscopic sclerotherapy for bleeding esophageal varices: effects and complications. Ann Intern Med. 1983; 98(6):900-3. DOI: 10.7326/0003-4819-98-6-900. View

Helpap B, Bollweg L . Morphological changes in the terminal oesophagus with varices, following sclerosis of the wall. Endoscopy. 1981; 13(6):229-33. DOI: 10.1055/s-2007-1021692. View

Asaki S, Nishimura T, Satoh A, OHara S, Shibuya D, Ogitsu Y . Endoscopic hemostasis of gastrointestinal hemorrhage by local application of absolute ethanol: a clinical study. Tohoku J Exp Med. 1983; 141(4):373-83. DOI: 10.1620/tjem.141.373. View

McKee R, Garden O, Carter D . Injection sclerotherapy for bleeding varices: risk factors and complications. Br J Surg. 1991; 78(9):1098-101. DOI: 10.1002/bjs.1800780920. View

Jenkins S, Shields R, Jaser N, ELLENBOGEN S, Naylor E, Baxter J . The management of persistent or recurrent variceal bleeding after injection sclerotherapy by somatostatin. HPB Surg. 1992; 5(4):221-6; discussion 226-7. PMC: 2442968. DOI: 10.1155/1992/86987. View

Randall G, Jensen D, Hirabayashi K, Machicado G . Controlled study of different sclerosing agents for coagulation of canine gut arteries. Gastroenterology. 1989; 96(5 Pt 1):1274-81. DOI: 10.1016/s0016-5085(89)80014-9. View

Chester J, Hurley P . Gastric necrosis: a complication of endoscopic sclerosis for bleeding peptic ulcer. Endoscopy. 1990; 22(6):287. DOI: 10.1055/s-2007-1012873. View

10.

Soehendra N, Grimm H, Nam V, Berger B . N-butyl-2-cyanoacrylate: a supplement to endoscopic sclerotherapy. Endoscopy. 1987; 19(6):221-4. DOI: 10.1055/s-2007-1018288. View

11.

Feretis C, Tabakopoulos D, Benakis P, Xenofontos M, GOLEMATIS B . Endoscopic hemostasis of esophageal and gastric variceal bleeding with Histoacryl. Endoscopy. 1990; 22(6):282-4. DOI: 10.1055/s-2007-1012872. View