Skip to main content
Log in

Perforation after endoscopic injection sclerotherapy for bleeding gastric varices

  • Case Reports
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Bleeding from gastric varices is an uncommon condition for which hemostatic control is difficult and ill defined. Most clinicians tend to achieve hemostasis by endoscopic treatment because of the prevailing poor general condition of these patients. A case of fundal perforation following excessive injection sclerotherapy is reported and possible mechanism discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Asaki S, Nishimura T, Satoh A (1983) Endoscopic control of gastrointestinal haemorrhage by local application of absolute alcohol: a clinical study. Tohoku J Exp Med 141: 373–383

    Google Scholar 

  2. Ayres SJ, Goff JS, Warren GH (1983) Endoscopic sclerotherapy for bleeding oesophageal varices: effects and complications. Ann Int Med 98: 900–903

    Google Scholar 

  3. Chester F, Hurley PR (1990) Gastric necrosis: a complication of endoscopic sclerosis for bleeding peptic ulcer. Endoscopy 22: 287

    Google Scholar 

  4. Evans DMD, Jones DB, Cleray BK, Smith PK (1982) Oesophageal varices treated by sclerotherapy: a histopathological study. Gut 23: 615–620

    Google Scholar 

  5. Feretis C, Tabakopoulos D, Benakis P, Xenofontos M, Golematis B (1990) Endoscopic haemostasis of esophageal and gastric variceal bleeding with Histoacryl. Endoscopy 22: 282–284

    Google Scholar 

  6. Helpap B, Bollweg L (1981) Morphological changes in the terminal oesophagus with varices, following sclerosis of the wall. Endoscopy 13: 229

    Google Scholar 

  7. Hunt LB, Mitros FA, Lewis JW (1982) Histologic changes in esophagus after injection sclerotherapy. Gastrointest Endosc 28: 137

    Google Scholar 

  8. Jenkins SA, Shields R, Jaser N, Ellenbogen S, Naylor E, Baxter JN (1992) The management of persistent or recurrent variceal bleeding after injection sclerotherapy by somatostatin. HPB Surg 5: 221–227

    Google Scholar 

  9. Levy J, Khakoo S, Barton R, Vicary R (1991) Fatal injection sclerotherapy of a bleeding peptic ulcer. Lancet 337: 504

    Google Scholar 

  10. Maltoff DS (1992) Treatment of acute variceal bleeding. Gastroentrol Clin North Am March: 103–108

  11. McKee RF, Garden OJ, Carter DC (1991) Injection sclerotherapy for bleeding varices: risk factors and complication. Br J Surg 78: 1098–1101

    Google Scholar 

  12. Randall GM, Jensen JM, Hirabayashi K, Machicado GA (1989) Controlled study of different sclerosing agents for coagulation of canine gut arteries. Gastroenterology 96: 1274–1281

    Google Scholar 

  13. Soehendra N, Grimm H, Nam V.Ch, Berger B (1987) N-butyl-2-cyanoacrylate: a supplement to endoscopic sclerotherapy. Endoscopy 19: 221–224

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ng, E.K.W., Chung, S.C.S., Leong, H.T. et al. Perforation after endoscopic injection sclerotherapy for bleeding gastric varices. Surg Endosc 8, 1221–1222 (1994). https://doi.org/10.1007/BF00591055

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00591055

Key words

Navigation