Читать книгу Successful Training in Gastrointestinal Endoscopy - Группа авторов - Страница 98

In patients with active bleeding from EV, hemostasis can be achieved by band ligation. This is a local endoscopic therapy that involves placing a rubber band around the culprit EV. Band ligation is also performed in patients requiring primary or secondary prophylaxis for EV bleeding. This typically consists of repeated sessions of band ligation until the varices are obliterated. Sclerotherapy with injection of sodium morrhuate (5%) and sodium tetradecylsulphate (1%) is also an option [17]. However, this has been largely replaced by band ligation.

Local endoscopic therapy for management of gastric varices (GV) may involve transendoscopic obturation by injection of cyanoacrylate glue into the varices [18,19]. There is a small probability of fatal pulmonary embolism [20]. While cyanoacrylate glue is commonly utilized in Europe and Asia, it is not yet approved for this specific use in the United States.