An endoscopic injection with N-butyl-2-cyanoacrylate used for colonic variceal bleeding: a case report and review of the literature.
case_report · Level V
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Abstract
We report a 64-yr-old patient with liver cirrhosis and bleeding esophageal varices that were obliterated by repeated endoscopic sclerotherapy. Eleven years later, he developed a massive, life-threatening rectosigmoid variceal hemorrhage. An endoscopic injection with N-butyl-2-cyanoacrylate (Histoacryl), performed over the rectosigmoid varices, achieved temporary hemostasis. The etiology, prevalence, relationship with portal hypertension, diagnosis, and treatment of colorectal varices are discussed.
Medical subject headings
- Colonoscopy
- Enbucrilate
- Gastrointestinal Hemorrhage
- Hemostasis, Endoscopic
- Hemostatics
- Rectum
- Tissue Adhesives
- Varicose Veins