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BIBTEX RIS

Splenic artery embolization and infarction after cyanoacrylate injection for esophageal varices

2007; Elsevier BV; Volume: 65; Issue: 7 Linguagem: Inglês

10.1016/j.gie.2006.10.008

1097-6779

Marcus Melo Martins Santos, Lucianna Pereira Correia, Rodrigo Azevedo Rodrigues, Luciano Lenz, Ângelo Paulo Ferrari, Ermelindo Della Líbera,

Gastroesophageal reflux and treatments

Esophageal variceal (EV) bleeding is a serious complication in patients with Child-Pugh C cirrhosis, 1 D'Amico G. Pagliaro L. Bosch J. The treatment of portal hypertension: a meta-analytic review. Hepatology. 1995; 22: 332-354 Crossref PubMed Google Scholar with high mortality and recurrent bleeding rates. 2 Graham D.Y. Smith J.L. The course of patients after variceal hemorrhage. Gastroenterology. 1981; 80: 800-809 PubMed Google Scholar Coagulation disorders lead to poor results of endoscopic sclerotherapy and band ligation. 3 Lopes C.V. Pereira-Lima J.C. Pereira-Lima L.F. et al. The efficacy of endoscopic ligation for the prevention of variceal rebleeding in cirrhotic patients according to the hepatocellular function. Hepatogastroenterology. 2004; 51: 195-200 PubMed Google Scholar , 4 Maluf-Filho F. Sakai P. Ishioka S. et al. Endoscopic sclerosis versus cyanoacrylate endoscopic injection for the first episode of variceal bleeding: a prospective, controlled, and randomized study in Child-Pugh class C patients. Endoscopy. 2001; 33: 421-427 Crossref PubMed Scopus (62) Google Scholar Although controversial, the injection of N-butyl-2-cyanoacrylate (Histoacryl; B. Braun, Melsungen, Germany) has been successfully used for variceal bleeding management. 4 Maluf-Filho F. Sakai P. Ishioka S. et al. Endoscopic sclerosis versus cyanoacrylate endoscopic injection for the first episode of variceal bleeding: a prospective, controlled, and randomized study in Child-Pugh class C patients. Endoscopy. 2001; 33: 421-427 Crossref PubMed Scopus (62) Google Scholar We report a patient with a Child-Pugh C cirrhosis and with splenic infarction from splenic artery embolization after endoscopic injection of a mixture of Histoacryl and Lipiodol (Guerbet, Chambray Lês Tours, France).