Analysis of the therapeutic effect of precise disconnection of pargastric varices guided by endoscopic ultrasound for the treatment of esophagogastric variceal bleeding(20 cases)
- VernacularTitle:超声内镜引导下胃旁曲张静脉精准断流术治疗食管胃静脉曲张出血的疗效分析(附20例报告)
- Author:
Fulong ZHANG
1
;
Jing XU
1
;
Xiao LI
1
;
Yan SHI
1
;
Zongyuan ZHAN
1
;
Yongzhen HU
1
;
Chunhua ZHOU
1
;
Qun ZHU
1
;
Hai WANG
1
;
Chaojun HUANG
1
;
Hongyan YUAN
1
;
Yuhong JIANG
1
;
Yuandong ZHU
1
Author Information
- Publication Type:Journal Article
- Keywords: endoscopic ultrasound; pargastric varices; spring coil; tissue glue; bleeding; therapeutic effect
- From: China Journal of Endoscopy 2025;31(8):85-90
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the therapeutic effect of precise disconnection of pargastric varices guided by endoscopic ultrasound in the treatment of esophagogastric variceal bleeding.Method A retrospective analysis was conducted on 20 patients with cirrhosis esophagogastric variceal bleeding treated with endoscopic ultrasound-guided precise disconnection of pargastric varices from January 1,2024 to December 31,2024.The efficacy was analyzed.Result All 20 patients successfully completed the precise disconnection of pargastric varices under the guidance of endoscopic ultrasound.The injection of tissue gel combined with the placement of spring coils(14 cases)and the injection of tissue gel alone(4 cases)successfully blocked the pargastric varices.All patients did not experience perforation,esophageal and cardia stenosis,massive bleeding,septicemia,or ectopic embolization.One patient who received tissue gel alone had slight bleeding from the pargastric varices after surgery and improved after 3 days of treatment to reduce portal vein pressure.Another one patient who received tissue gel alone had a low-grade fever and normal body temperature after 3 days of anti-infection treatment.Conclusion Precise disconnection of pargastric varices under the guidance of endoscopic ultrasound has a good therapeutic effect on esophagogastric variceal bleeding,with fewer complications such as ectopic embolization,massive bleeding,infection,and perforation.However,close follow-up observation is still needed to address the issue of pargastric varices.
