Department of Gastroenterology, Turkiye Yuksek Ihtisas Training and Research Hospital, 06100 Ankara, Turkey.
Clin Res Hepatol Gastroenterol. 2012 Feb;36(1):e9-11. doi: 10.1016/j.clinre.2011.07.010. Epub 2011 Aug 24.
Gastric variceal bleeding is a common problem in patients with cirrhosis and despite early endoscopic and/or pharmacological therapy, variceal bleeding cannot be controlled or recurs early in about 10 to 20% of patients with considerable morbidity and mortality rates. For this reason, effective control of active bleeding varices is of great importance for the prevention of late complications. Although endoscopic band ligation and sclerotherapy are the choice of endoscopic treatment modalities with various grades of success, limited data is available for the use of Ankaferd Blood Stopper (ABS) for the controlling of variceal bleeding due to gastric varices. We herein present a unique case of gastric variceal bleeding despite cyanoacrilate injection, which was successfully controlled with topical ABS application.
胃静脉曲张出血是肝硬化患者的常见问题。尽管早期进行了内镜和/或药物治疗，但仍有约 10%至 20%的患者无法控制或早期复发静脉曲张出血，其发病率和死亡率都相当高。因此，有效控制活动性出血的静脉曲张对于预防晚期并发症非常重要。尽管内镜套扎和硬化疗法是治疗各种程度静脉曲张出血的首选内镜治疗方法，但由于胃静脉曲张，安卡福止血粉（ABS）用于控制静脉曲张出血的相关数据有限。在此，我们报告了一例胃静脉曲张出血的独特病例，尽管使用了氰基丙烯酸酯注射，但通过局部应用 ABS 成功控制了出血。
