Endoscopic clipping for the secondary prophylaxis of bleeding gastric varices in a patient with cirrhosis: A case report

Figure 1 Preoperative abdominal computed tomography, preoperative and intraoperative endoscopy images. A-D: Preoperative abdominal computed tomography showing esophagogastric venous plexus presenting multiple dilated, tortuous blood vessels (arrows, gastric varices); E-H: Preoperative endoscopic examination revealing several large, nodular gastric fundal varices (largest diameter 15 mm), with no bleeding points or red-color signs revealed during endoscopy; I-L: Immediately after deployment of the clips, the outlet and inlet of the gastric varices were closed by clips, resulting in variceal atelectasis.

Figure 2 Follow up imaging and endoscopy images. A-D: Imaging follow-up showing the significantly improved gastric varices (arrows) at the 5^th postoperative month; E-H: Gastroscopy showing the clips still in place with well-healed varices at the 5^th postoperative month.