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Fig. 5 | BMC Gastroenterology

Fig. 5

From: Beyond the scope and the glue: update on evaluation and management of gastric varices

Fig. 5

Endoscopic ultrasound (EUS) guided coiling and glue therapy for recurrent bleeding from gastric varices. Large gastric varix is noted (a) with turbulent blood flow within (b). A 22 G aspiration needle is pushed into the varix (c) and coils inserted into the varix lumen under direct vision (d). Additionally, 1.5 mL of cyanoacrylate glue is injected to completely obliterate the variceal lumen (e). Immediate post treatment, the turbulent flow has almost disappeared from variceal complex (f). Six months after treatment, the coils are visible on abdominal fluoroscopy (g) and there is complete obliteration with loss of Doppler signals from the varix on repeat EUS (h)

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