Escleroterapia endoscópica asistida mediante balón oclusivo como tratamiento de várices gástricas cardiofúndicas de alto riesgo: Reporte de dos casos y Revisión de la Literatura.

Resumen

Management of gastrointestinal bleeding caused by fundal varices is particularly difficult to manage. The options are: transjugular intrahepatic portosystemic shunt (TIPS), endoscopic injection of cyanoacrylate or balloon-occluded retrograde transvenous obliteration (BRTO). We report a 63 years old male with a cirrhosis caused by hepatitis C and a 66 years old female with a cirrhosis caused by a non-alcoholic steatohepatitis. Both patients had a gastrointestinal bleeding caused by fundal varices and were treated with sclerotherapy with cyanoacrylate assisted with BRTO. Flow was interrupted in the gastro-renal shunt by a femoral access in both patients. The male patient had a new bleeding two months later and died . In the female patient an endosonography performed nine months after the procedure showed absence of remaining varices.