Escleroterapia endoscópica asistida mediante balón oclusivo como tratamiento de varices gástricas cardiofúndicas de alto riesgo: Reporte de dos casos y revisión de la literatura

• Autores: Daniel Da Costa, Cristian Montenegro, Patricio Palavecino, Germán Lobos, Tomás Cermenati, Jaime Poniachik
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 145, Nº. 10, 2017, págs. 1336-1341
• Idioma: español
• Títulos paralelos:
  • Fundal variceal bleeding treated with balloon occluded endoscopic inyection sclerotherapy. Report of two cases
• Enlaces
  • Texto completo
• Resumen

  • 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.