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Revista médica de Chile

Print version ISSN 0034-9887

Abstract

COSTA, Daniel da et al. Fundal variceal bleeding treated with balloon occluded endoscopic inyection sclerotherapy. Report of two cases. Rev. méd. Chile [online]. 2017, vol.145, n.10, pp.1336-1341. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872017001001336.

Management of gastrointestinal bleeding caused by fundal varices is particularly difficult to manage. The options are: transjugular intrahepatic portosystemic shunt (TIPS), endoscopic injection of cyanoacrylate or balloon-occluded retrograde transvenous obliteration (BRTO). We report a 63 year-old male with a cirrhosis caused by hepatitis C and a 66 year-old female with a cirrhosis caused by a non-alcoholic steatohepatitis. Both patients had a gastrointestinal bleeding caused by fundal varices and were treated with sclerotherapy with cyanoacrylate assisted with BRTO. Flow was interrupted in the gastro-renal shunt by a femoral access in both patients. The male patient had a new bleeding two months later and died. In the female patient an endosonography performed nine months after the procedure showed absence of remaining varices.

Keywords : Balloon Occlusion; Esophageal and Gastric Varices; Gastrointestinal Hemorrhage; Sclerotherapy.

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