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World J Gastrointest Endosc. Sep 16, 2014; 6(9): 448-452
Published online Sep 16, 2014. doi: 10.4253/wjge.v6.i9.448
Published online Sep 16, 2014. doi: 10.4253/wjge.v6.i9.448
Cyanoacrylate spray as treatment in difficult-to-manage gastrointestinal bleeding
Liz Toapanta-Yanchapaxi, Norberto Chavez-Tapia, Gastroenterology Service, Digestive Disease and Obesity Clinic, Medica Sur Clinic and Foundation, Mexico City 14050, Mexico
Félix Téllez-Ávila, Endoscopy Department, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City 14000, Mexico
Author contributions: Toapanta-Yanchapaxi L and Téllez-Ávila F designed the report, collected the data and wrote the paper; Chavez-Tapia N and Téllez-Ávila F were attendant physicians and reviewed the final version.
Correspondence to: Félix Téllez-Ávila, MD, Endoscopy Department, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City 14000, Mexico. felixtelleza@gmail.com
Telephone: +52-15-4247200 Fax: +52-15-4246892
Received: May 29, 2014
Revised: July 19, 2014
Accepted: August 27, 2014
Published online: September 16, 2014
Revised: July 19, 2014
Accepted: August 27, 2014
Published online: September 16, 2014
Core Tip
Core tip: Up to 5%-10% of patients with gastrointestinal bleeding may have persistent bleeding that does not respond to endoscopic measures. When failure of the initial management strategy is observed, new techniques can be used. Cyanoacrylate is a polymer that crystallizes upon contact with blood and, if used as a spray, can help achieve hemostasis with minimal or no risk to patients.