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Copyright ©The Author(s) 2021.
World J Gastroenterol. Oct 28, 2021; 27(40): 6874-6887
Published online Oct 28, 2021. doi: 10.3748/wjg.v27.i40.6874
Table 1 Endoscopic ultrasound-guided gastric varices treatment
Type of Intervention
Year
Ref.
Number of patients, n (%)
Follow up (mo)
Obliteration of varices/Clinical success %
Recurrent bleeding rate %
Adverse events %
CYA glue2019Lôbo et al[13] 169.975%-50%
CYA glue2014Gubler and Bauerfeind[23]40-100%15%5%
CYA glue2019Bick et al[24] 646.6 96.9%8.8%17.5%
CYA glue2013Romero-Castro et al[26]196 94.7%0%57.9%
CYA glue2018Krill et al[62]104 100%-0%
Coil2013Romero-Castro et al[26] 116 90.9%0%9.1%
Coil2018Krill et al[62]64 100%-0%
Coil2010Romero-Castro et al[63]45 (1-3)75%0%0%
Coil and CYA Glue2019Lôbo et al[13]169.973.3%-25%
Coil and CYA Glue2019Kozieł et al[14] 1610.9100%-37.5%
Coil and CYA Glue2018Krill et al[62]124 100%-8%
Table 2 Case report studies on endoscopic ultrasound-guided rectal varices treatment
Ref.
Presenting symptom
Number of patients, age, sex
Rectal varices size
Therapy
Results
Follow up
Results on follow up
Philips and Augustine[64], 2017Rectal bleeding1, 48 yr, MLarge rectal varixEUS-guided embolization coil and glueNo further bleeding1 moNo rebleeding
Bazarbashi et al[65], 2020Rectal bleeding1, 71 yr, MLarge rectal varices (4 mm in diameter)EUS-guided coil embolizationNo further bleeding6 moNo bleeding
Mukkada et al[66], 2017Rectal bleeding1, 65 yr, MLarge rectal varicesFirst EUS-guided sclerotherapy, but unable to achieve hemostasis, EUS guided glue No further bleeding1 wkRebleeding and then required EUS-guided coil embolization
Table 3 Case report studies on endoscopic ultrasound-guided treated for pseudoaneurysm
Ref.
Presenting symptom
Number of patients, age and sex
Pseudoaneurysm artery
Therapy
Results
Follow up
Results on follow up
Gamanagatti et al[35], 2015Pancreatitis with upper GI bleed in all three cases3; 56, 45 and 30 yr; MGastroduodenal artery-1, splenic artery for 2 patientsEUS-guided thrombin injectionBleeding stopped, Obliteration of pseudoaneurysm1 moNo bleeding
Robb et al[67], 2012Infected pseudoaneurysm1, 54 yr, MSuperior mesenteric artery branchEUS-guided embolizationObliteration of pseudoaneurysm5 moAsymptomatic
Somani et al[68], 2017Melena1, 50 yr, MGastroduodenal arteryEUS-guided coil embolization and thrombin injectionObliteration of pseudoaneurysm2 wkNo further bleeding
Jhajharia et al[69], 2018Chronic pancreatitis, GI bleed3; 43, 25 and 55 yr; MGastroduodenal artery, hepatic artery, splenic arteryEUS-guided thrombin injectionObliteration of pseudoaneurysm14 dNo rebleeding