#Injection of gastric varix


A 74-year-old man presented with hematemesis and melena was admitted to the endoscopy unit. After resuscitation, the patient underwent upper digestive endoscopy. The scope revealed gastric varices.

How you can measure the amount of histoacryl needed for this varix.

How you will manage this varix?

1-      Band ligation

2-       Injection with histoacryl glue

3-      EUS assisted injection of varix or obturation using coils

4-      Fluoroscopy assisted occlusion by a radiologist.

We inject varix with 5 ampoules of #amcrylate and lipiodol.

I think this method is the cheapest one and we have a great experience when using this maneuver.

You should note that the other methods are used successfully by GI endoscopists


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