Endoscopic ultrasound coil placement of gastric varices: Emerging modality for recurrent bleeding gastric varices

Abstract

Gastric varices are the probable source of bleeding in 10-36% of patients, with acute variceal bleeding and carry high mortality and rebleeding rates. Till date, cyanoacrylate glue injection is considered as the standard of care but has high complication rate. Endoscopic ultrasound (EUS) guided coil placement is a new emerging technique of management of gastric varices. In this case report, we detail the EUS guided coil placement for management of gastric varices after failed glue injections.

Keywords

• endoscopic ultrasound guided coil placement
• gastric varices
• variceal bleeding