Korean Journal of Gastrointestinal Endoscopy  2005;31(4):243-247

A Case of Esophageal Obstruction after Cyanoacrylate Injection Sclerotherapy.

Won Joong JEON 1 ; Jeong Chul SEO ; Seong Woo LIM ; Ki Man LEE ; Hee Bok CHAE ; Seon Mee PARK ; Il Hun BAE ; Seong Jin KIM ; Sei Jin YOUN

Affiliations

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Keywords

Cyanoacrylate; Esophageal variceal bleeding; Dysphagia

Country

Republic of Korea

Language

Korean

Abstract

Cyanoacrylate is well recognized for its effect in the treatment of the gastric variceal bleeding rather than the esopahgeal variceal bleeding. We used endoscopic injection sclerotherapy (EIS) with cyanoacrylate for the control of esophageal variceal bleeding in which endoscopic variceal ligation (EVL) was difficult due to severe post-EVL scar changes of the esophageal mucosa. The hemostasis by EIS with cyanoacrylate was successfully achieved despite the massive bleeding. However, esophageal obstruction occurred after the EIS treatment. Later, the obstruction resolved spontaneously as the polymer was expelled into the esophageal lumen. We report this case with a brief review of the literatures.