Zhang HY, He CC, Zhong DF. Endoscopic ultrasound-guided treatment of isolated gastric varices entwined with arteries: A case report. World J Gastrointest Endosc 2024; 16(8): 489-493 [PMID: 39156000 DOI: 10.4253/wjge.v16.i8.489]
Corresponding Author of This Article
Chen-Cong He, BMed, Attending Doctor, Department of General Medicine, Jinhua Guangfu Hospital, No. 1296 Huancheng North Road, Jinhua 321001, Zhejiang Province, China. 13575943438@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Aug 16, 2024; 16(8): 489-493 Published online Aug 16, 2024. doi: 10.4253/wjge.v16.i8.489
Endoscopic ultrasound-guided treatment of isolated gastric varices entwined with arteries: A case report
Hong-Ying Zhang, Chen-Cong He, Ding-Fu Zhong
Hong-Ying Zhang, Ding-Fu Zhong, Department of Gastroenterology, Jinhua People's Hospital, Jinhua 321000, Zhejiang Province, China
Chen-Cong He, Department of General Medicine, Jinhua Guangfu Hospital, Jinhua 321001, Zhejiang Province, China
Author contributions: Zhang HY contributed to manuscript writing and editing and data collection; Zhong DF assisted in writing the paper; He CC revised the manuscript.
Supported byJinhua City Science and Technology Plan Project, China, No. 2019-4-027.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chen-Cong He, BMed, Attending Doctor, Department of General Medicine, Jinhua Guangfu Hospital, No. 1296 Huancheng North Road, Jinhua 321001, Zhejiang Province, China. 13575943438@163.com
Received: May 30, 2024 Revised: June 30, 2024 Accepted: July 5, 2024 Published online: August 16, 2024 Processing time: 64 Days and 2.1 Hours
Abstract
BACKGROUND
Interventional endoscopic ultrasound is clinically used for the treatment of isolated gastric varices (IGVs) owing to its precise visualization.
CASE SUMMARY
A 39-year-old man was diagnosed with a large IGV during a routine physical examination. Endoscopic ultrasonography showed gastric varices entwined with an artery, which greatly increased the difficulty of treatment. We successfully treated the patient with endoscopic ultrasonography-guided coil embolization combined with cyanoacrylate injection.
CONCLUSION
Endoscopic ultrasonography-guided coil embolization combined with cyanoacrylate injection was safe and effective for the treatment of an IGV entwined with an artery.
Core Tip: Isolated gastric varices (IGVs) are potentially fatal, and endoscopic treatment is the main treatment. Endoscopic ultrasound (EUS)-guided therapy is more precise than conventional endoscopic therapy. In this case, we successfully treated an IGV entwined with an artery by EUS-guided coil embolization combined with cyanoacrylate injection. This was an effective treatment of an IGV entwined with an artery.
