Procedure-related complications in gastric variceal obturation with tissue glue

Figure 2 Sticking of the needle to the varix in one patient. A: A mass of GOV2 varices in one patient with HBV cirrhosis; B: Blockage of the catheter and sticking of the needle occurred at the same time when the tissue glue was being injected; C: Laceration of the varix and large spurt bleeding occurred; D and E: An injection with 3 mL of undiluted tissue glue was performed, and dropwise bleeding was observed; F and G: Another injection with 1 mL of undiluted tissue glue was performed, and hemostasis was achieved; H: A repeat endoscopy 6 mo later shows that the GOV2 varices were dramatically alleviated. Extrusion of the glue and some hyperplasia of the local gastric mucosa were observed. GOV: Gastroesophageal varices.