Escleroterapia endoscópica asistida mediante balón oclusivo como tratamiento de várices gástricas cardiofúndicas de alto riesgo: Reporte de dos casos y Revisión de la Literatura.

Daniel da Costa, Cristián Montenegro, Patricio Palavecino, Germán Lobos, Tomás Cermenati, Jaime Poniachik

Resumen


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 years old male with a cirrhosis caused by hepatitis C and a 66 years 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.

Palabras clave


Balloon Occlusion; Case Reports; Esophageal and Gastric Varices; Gastrointestinal Hemorrhage; Sclerotherapy

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