604 endoscopic ultrasound-guided coil placement is an effective, safe and radiation-sparing approach for management of gastric variceal bleeding in children and adolescents

Gastric variceal (GV) bleeding is among the most morbid sequelae of portal hypertension, with mortality ranging from 30-50%. GV bleeding is commonly managed by interventional radiology-guided embolization/shunting, with significant associated radiation exposure. Pediatric data focused on endoscopic approaches to management are needed. Cyanoacrylate injection has been described, however, hemostasis rates are variable and re-bleeding occurs in up to 50% of patients. Furthermore, concerns surrounding cyanoacrylate embolization and glue retention within endoscopes have limited its use.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Oral abstracts Source Type: research