Endoscopic cyanoacrylate injection for the treatment of gastric varices in children

Figure 1 Endoscopic and radiographic images in one patient with extrahepatic portal vein obstruction. A: Intravariceal injection of cyanoacrylate. The intravariceal pressure was highest at the top of the variceal dome, leading to immediate extrusion of injected cyanoacrylate and massive uncontrollable bleeding. Thus, it was safer to first inject cyanoacrylate on the side of the varix; B: Chest X-ray after injection showing injected cyanoacrylate and Lipiodol without undesired embolism.