Endoscopic ultrasound-guided coil placement combined with tissue glue injection in the treatment of gastric variceal bleeding with gastrorenal shunt/splenorenal shunt
Objective To explore the effectiveness and safety of EUS-guided coil placement combined with glue injection in the treatment of gastric varicose bleeding combined with GRS/SRS.Methods The hemostasis success rate,rebleeding rate,and ectopic embolization rate of the above patients in Beijing Friendship Hospital,Capital Medical University from December 2017 to May 2023 were retrospectively analyzed.Results A total of 48 patients were included in the study,with a male-female ratio of 20:28,and an average age of 62.7(39.0-71.0)years.Among them,15 patients had GRS,29 patients had SRS,and 4 patients had GRS combined with SRS.The average maximum diameter of the shunt channel was 1.5 cm,and the average minimum diameter was 0.7 cm.The operation success rate was 100％,and the hemostasis success rate was 97.9％.The average diameter of the coil was 11.3 mm,and the average number of coils inserted was 1.3.The average injection volume of tissue glue was 6.3 mL.The average follow-up was 2.9 years,the rebleeding rate was 18.8％,and the incidence of ectopic embolism was 4.2％.Conclusion EUS-guided coil combined with tissue glue has a good effect on the treatment of gastric varicose bleeding combined with GRS/SRS,and the incidence of complications is low.
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