Endoscopic clipping with histoacryl in management of type 2 gastroesophageal varices (30 cases)
10.3969/j.issn.1007-1989.2017.12.018
- VernacularTitle:内镜下钛夹联合组织胶治疗GOV2型 胃底静脉曲张30例
- Author:
Shi YAN
1
;
Wu QIAN-NENG
;
Xie XIN-CHENG
;
Chen JUAN
;
Fang LEI
;
Zhang FU-LONG
;
Jin ZHI-WANG
;
Zhu YUAN-DONG
Author Information
1. 浙江中医药大学附属杭州市西溪医院 消化内科
- Keywords:
type 2 gastroesophageal varices (GOV2);
endoscopic histoacryl injection;
titanium clip;
safety;
therapeutic effect
- From:
China Journal of Endoscopy
2017;23(12):88-92
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize clinical experience and explore application value of endoscopic clipping with histoacryl using in management of type 2 gastroesophageal varices. Methods Clinical data of 30 patients with type 2 gastroesophageal varices patients (including acute hemorrhage and primary prevention) from May 2015 to December 2016 were collected. Then evaluate therapeutic effect and safety of endoscopic clipping adjuvant therapy. Results Average glue dosage was (1.46 ± 0.70) ml, average using of clips were (5 ~ 6), and intraoperative needle pulling hemorrhage occurred in 2 cases. 14 patients (46.7%) underwent endoscopic re-examination, 3 patients (10.0%) achieved varicose vein elimination, 11 cases (36.7%) remained residual. Rebleeding occurred in 4 cases (13.3%), and 2 cases died (6.7%), one because of postoperative hematemesis and hemorrhagic shock, the other one died of spontaneous peritonitis and septic shock. For general curative effect, 2 cases (6.7%) were healed, 22 cases (73.3%) were improved, and 6 cases were unhealed (20.0%, 4 cases occurred rebleeding, 2 cases died); 17 cases underwent CT portal venograpy, abnormal embolization was not found in any patients, glue extrusion bleeding occurred in 1 case (3.3%), no patients had severe postoperative complications. Conclusion Endoscopic clipping with histoacryl can be used in the prevention and treatment of type 2 gastroesophageal varices to improve the treatment effect and reduce postoperative bleeding risk, may have good clinical practice value.
