Endoscopic Ultrasonography-Guided Hemostasis Techniques

Everson Luiz de Almeida Artifon; Fernando Pavinato Marson; Muhammad Ali Khan

doi:10.1016/j.giec.2017.06.011

Endoscopic Ultrasonography-Guided Hemostasis Techniques

Gastrointest Endosc Clin N Am. 2017 Oct;27(4):741-747. doi: 10.1016/j.giec.2017.06.011.

Authors

Everson Luiz de Almeida Artifon¹, Fernando Pavinato Marson², Muhammad Ali Khan³

Affiliations

¹ Department of Surgery, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 255 - Cerqueira César, São Paulo, São Paulo 05403-000, Brazil. Electronic address: eartifon@hotmail.com.
² Department of Surgery, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 255 - Cerqueira César, São Paulo, São Paulo 05403-000, Brazil.
³ Department of Gastroenterology and Hepatology, University of Tennessee Health Science Center, 956 Court Avenue, Suite H 314, Memphis, TN 38163, USA.

PMID: 28918809
DOI: 10.1016/j.giec.2017.06.011

Abstract

Endoscopic ultrasonography (EUS)-guided hemostasis is an evolving technique that has the potential to improve the care of patients with refractory variceal and nonvariceal gastrointestinal bleeding. EUS-guided treatment of fundal varices with coil and/or cyanoacrylate seems to be highly effective in active bleeding, as well as for primary and secondary bleeding prophylaxis. Reports of EUS-guided treatment of refractory nonvariceal sources of bleeding are more scarce, but show high success rates. The procedures involve a medium to high technical difficulty level, and this has been replicated worldwide.

Keywords: EUS-guided hemostasis; EUS-guided vascular access; Endoscopic hemostasis; Gastrointestinal bleeding.

Publication types

Review

MeSH terms

Cyanoacrylates
Endosonography / methods*
Esophageal and Gastric Varices / therapy*
Gastrointestinal Hemorrhage / therapy*
Hemostasis, Endoscopic / methods*
Humans
Stents
Treatment Outcome
Ultrasonography, Interventional / methods*

Substances

Cyanoacrylates