Pitfalls in histoacryl glue injection therapy for oesophageal, gastric and ectopic varices:A review
Pitfalls in histoacryl glue injection therapy for oesophageal, gastric and ectopic varices:A review作者机构:Department of Gastroenterology and Hepatology Guy’s and St Thomas’ NHS Foundation Trust
出 版 物:《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志(英文版)(电子版))
年 卷 期:2016年第8卷第11期
页 面:729-734页
学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题:Complications Embolisation Thrombosis Sepsis
摘 要:Histoacryl glue is used increasingly for the treatment of gastric and ectopic varices, and there is experience in its use for oesophageal varices. It is an effective treatment, yet numerous reports of complications have accumulated. This review of the literature describes the technique, explores circulatory and vascular consideration unique to portal hypertension and categorises the complications into: Embolisation, local venous thrombosis, fistulisation and extravascular injection, ulceration, erosion and extrusion, and nidus of infection. A case is then made for standardisation of the technique and the consent process.