Diagnostic Methods for Cirrhosis and Portal Hypertension by Annalisa Berzigotti & Jaime Bosch

Author:Annalisa Berzigotti & Jaime Bosch
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

12.7 EUS-Guided Therapy of Ectopic Varices

EUS-guided therapy has been described in case reports for variceal bleeding at other anatomical sites. So et al. [40] described the use of an EUS-guided coil to treat massive duodenal variceal bleeding. The use of CYA glue in this scenario has also been described. Rectal varices are common but have a smaller risk of bleeding than their gastroduodenal counterparts. The uses of both, EUS-guided CYA injection and combination therapy with EUS-guided coil/CYA for rectal varices, have been described [41, 42]. EUS has also been used to direct glue into parastomal varices [43]. While there is currently insufficient evidence to recommend EUS-guided treatment as first line in these cases, it has emerged as a viable option for rescue therapy.

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