Novel predictors for immediate puncture site bleed during endoscopic glue injection for gastric varices without using lipiodol

@article{Chandrasekar2013NovelPF,
  title={Novel predictors for immediate puncture site bleed during endoscopic glue injection for gastric varices without using lipiodol},
  author={Thoguluva Seshadri Chandrasekar and John Menachery and Bollu Janakan Gokul and Mallaiyappan Murugesh and T. C. Vivek Sandeep},
  journal={Indian Journal of Gastroenterology},
  year={2013},
  volume={32},
  pages={200-203}
}
Endoscopic obturation of gastric varices using tissue adhesive glues like cyanoacrylate is an accepted modality for the treatment of gastric varices. This study was undertaken to determine whether it was possible to predict immediate puncture site bleed on withdrawal of needle catheter during endoscopic glue injection without lipiodol. We prospectively analyzed 100 consecutive patients with cirrhosis who underwent glue injection. Glue injection was successful in all the patients. Immediate… 
In Vitro Studies on Technical Determinants for Avoiding Immediate Puncture-Site Bleeding in Glue Therapy for Gastric Varices With A Correlational Clinical Study
TLDR
Normal saline is incompatible with glue and can cause premature glue solidification and Observing a minimum ‘needle-indwelling-time’ based on the glueSolidification time is recommended.
Treatment and follow-up of a case of bleeding duodenal varix
TLDR
It is concluded that glue injection can effectively be used as a first-line treatment for bleeding duodenal varices.

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