Evaluation of undiluted N-butyl-2-cyanoacrylate in the endoscopic treatment of upper gastrointestinal tract varices.

Abstract:

BACKGROUND AND STUDY AIMS:Endoscopic obliteration of upper gastrointestinal tract varices using N-butyl-2-cyanoacrylate has been proposed by some authors. The aim of the present study was to evaluate prospectively the efficacy and safety of this technique, using the undiluted substance, in obtaining hemostasis of bleeding upper gastrointestinal tract varices, as well as definitive eradication of varices located in the gastric fundus and duodenum. PATIENTS AND METHODS:We carried out variceal injections of N-butyl-2-cyanoacrylate in 80 patients (51 males, 29 females, mean age 68 years, range 19-80) with upper gastrointestinal tract varices. In 24 patients, the varices were located in the esophagus, in 54 in the gastric fundus, and in the remaining two they were in the duodenum. Forty-eight patients were treated for active variceal bleeding, and the other 32 were treated electively. RESULTS:Hemostasis was achieved in 43 of the 48 patients (89.6%) treated for active variceal bleeding. Eradication was obtained in 49 of the 56 patients (87.5%) with gastric or duodenal varices. Overall complications occurred in 11 patients (10.4%). In two patients, embolization was found, and in a further two patients it was clinically suspected, but could not be proved. Ten patients (12.5%) died during the treatment period, six due to uncontrolled bleeding, two due to rebleeding, and two due to liver failure. CONCLUSIONS:Endoscopic injection of N-butyl-2-cyanoacrylate appears to be both safe and effective in the treatment of bleeding gastrointestinal tract varices. The relative value of the undiluted substance versus the diluted one should be further evaluated.

journal_name

Endoscopy

journal_title

Endoscopy

authors

D'Imperio N,Piemontese A,Baroncini D,Billi P,Borioni D,Dal Monte PP,Borrello P

doi

10.1055/s-2007-1005435

subject

Has Abstract

pub_date

1996-02-01 00:00:00

pages

239-43

issue

2

eissn

0013-726X

issn

1438-8812

journal_volume

28

pub_type

杂志文章
  • Beyond white light: optical enhancement in conjunction with magnification colonoscopy for the assessment of mucosal healing in ulcerative colitis.

    abstract::Background and study aim The I-SCAN optical enhancement (OE) system with magnification is a recently introduced combination of optical and digital electronic virtual chromoendoscopy, which enhances mucosal and vascular details. The aim of this pilot study was to investigate the use of I-SCAN OE in the assessment of in...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0042-124363

    authors: Iacucci M,Kiesslich R,Gui X,Panaccione R,Heatherington J,Akinola O,Ghosh S

    更新日期:2017-06-01 00:00:00

  • Laser-induced shockwave lithotripsy of gallstones.

    abstract::With the aid of a Q-switched Nd:YAG laser with energy transmission via a flexible glass fiber, it proves possible under laboratory conditions, to destroy gallstones reliably and reproducibly. Lithotripsy is effected mechanically via a laser-induced local shockwave. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018340

    authors: Ell C,Wondrazek F,Frank F,Hochberger J,Lux G,Demling L

    更新日期:1986-05-01 00:00:00

  • Prospective clinical study of endoscopic ultrasound-guided choledochoduodenostomy with direct metallic stent placement using a forward-viewing echoendoscope.

    abstract::A prospective clinical study was conducted to evaluate the safety, feasibility, and efficacy of endoscopic ultrasound (EUS)-guided choledochoduodenostomy (CDS) with direct metallic stent placement using a prototype forward-viewing echoendoscope. The indication for EUS - CDS in this study was lower biliary obstruction ...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-0032-1326076

    authors: Hara K,Yamao K,Hijioka S,Mizuno N,Imaoka H,Tajika M,Kondo S,Tanaka T,Haba S,Takeshi O,Nagashio Y,Obayashi T,Shinagawa A,Bhatia V,Shimizu Y,Goto H,Niwa Y

    更新日期:2013-01-01 00:00:00

  • Plastic endoprostheses versus metal stents in the palliative treatment of malignant hilar biliary obstruction. A prospective and randomized trial.

    abstract::This prospective and randomized trial sought to compare large-bore plastic endoprostheses (14 French) and self-expanding metal stents (24 French) in the palliative treatment of obstructive jaundice due to biliary hilar malignancies. Twenty patients with Type II-IV (Bismuth classification) hilar obstruction were random...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2007-1010295

    authors: Wagner HJ,Knyrim K,Vakil N,Klose KJ

    更新日期:1993-03-01 00:00:00

  • A new endoscopic simulator.

    abstract::Trainees need to perform a certain number of endoscopic procedures to achieve competence. Training on simulators is advantageous because it reduces the number of potentially life-threatening critical mistakes. The change in medical practice that limits education time and patient availability, and the increase in medic...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2000-8088

    authors: Bar-Meir S

    更新日期:2000-11-01 00:00:00

  • A novel disposable, transnasal esophagoscope: a pilot trial of feasibility, safety, and tolerance.

    abstract::A novel disposable transnasal esophagoscope, the E.G. Scan (IntroMedic Co. Ltd., Seoul, Korea), was developed for the evaluation of esophageal diseases while eliminating the inconvenience associated with sterilization, portability, patient monitoring, complications, and the economic burden of sedation. The feasibility...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-0031-1291483

    authors: Chung JW,Park S,Chung MJ,Park JY,Park SW,Chung JB,Song SY

    更新日期:2012-02-01 00:00:00

  • Duodenal perforation after laparoscopic cholecystectomy.

    abstract::A case is reported of duodenal perforation complicating laparoscopic cholecystectomy performed by laser dissection. The importance of investigating a patient with persistent shoulder-tip pain following this technique to exclude a subphrenic abscess is emphasised. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010586

    authors: Eden CG,Williams TG

    更新日期:1992-11-01 00:00:00

  • A further case of submucosal lymphangioma of the duodenum diagnosed during endoscopy.

    abstract::Submucosal lymphangiomas are benign tumors which rarely occur in the gastrointestinal tract. The current report describes the tenth case of a submucosal cavernous-cystic lymphangioma of the duodenum. The diagnosis was made during endoscopy and was confirmed histologically in a biopsy specimen. Following a brief review...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021740

    authors: Gangl A,Polterauer P,Krepler R,Kumpan W

    更新日期:1980-07-01 00:00:00

  • Three-dimensional determination of gastric ulcer size with laser endoscopy.

    abstract::We have developed a new endoscopic system for measuring the three-dimensional structure of the gastric ulcer. The system consists of an argon ion laser generator, a side-viewing endoscope with diffraction grating made of glass fibers, and a graphic processing unit. Via a fiber grating fitted in the tip of the endoscop...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018189

    authors: Yamaguchi M,Okazaki Y,Yanai H,Takemoto T

    更新日期:1988-09-01 00:00:00

  • Bridging of benign choledochal stenoses by endoscopic retrograde implantation of mesh stents.

    abstract::A prospective study of a new stent for bridging choledochal stenoses was performed in seven patients (5 females, 2 males, age range 49-80 years) with benign bile duct stenosis or bilioduodenal fistula in whom conventional bougienage (3 patients) and/or month-long implantation of plastic prostheses (7 patients) failed ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010639

    authors: Foerster EC,Hoepffner N,Domschke W

    更新日期:1991-05-01 00:00:00

  • A prospective study of fully covered metal stents for different types of refractory benign biliary strictures.

    abstract:BACKGROUND:While endoscopic management of benign biliary strictures (BBSs) is the standard of care, long-term treatment remains the issue in refractory cases, especially for anastomotic strictures after living-donor liver transplantation (LDLT) and hepaticojejunostomy anastomotic strictures (HJAS). The aim of this pros...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/a-1111-8666

    authors: Sato T,Kogure H,Nakai Y,Ishigaki K,Hakuta R,Saito K,Saito T,Takahara N,Hamada T,Mizuno S,Tada M,Isayama H,Koike K

    更新日期:2020-05-01 00:00:00

  • Value of endoscopic ultrasonography in the assessment of inflammatory bowel diseases.

    abstract::The value of EUS in the assessment of inflammatory bowel diseases was determined. EUS was useful for estimation of the histological changes of inflammatory bowel diseases. In ulcerative colitis, EUS findings were classified into five types, which correlated with the colonoscopic and histological findings. Studies in s...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010499

    authors: Shimizu S,Tada M,Kawai K

    更新日期:1992-05-01 00:00:00

  • Endoscopic ultrasound-guided fine-needle aspiration in focal pancreatic lesions: a prospective intraindividual comparison of two needle assemblies.

    abstract:BACKGROUND AND STUDY AIMS:The results of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in focal pancreatic lesions are less impressive than those in the mediastinum. The aim of this prospectively randomized study was to compare two commercially available needle assemblies with regard to handling and cyt...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2001-14970

    authors: Fritscher-Ravens A,Topalidis T,Bobrowski C,Krause C,Thonke E,Jäckle S,Soehendra N

    更新日期:2001-06-01 00:00:00

  • Radial incision and cutting method for refractory stricture after nonsurgical treatment of esophageal cancer.

    abstract::Strictures remaining after nonsurgical treatment for esophageal cancer are generally more refractory to endoscopic balloon dilation (EBD) when compared with anastomotic strictures. The aim of the present study was to evaluate the efficacy and safety of a radial incision and cutting (RIC) method for the treatment of re...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0032-1326016

    authors: Yano T,Yoda Y,Satake H,Kojima T,Yagishita A,Oono Y,Ikematsu H,Kaneko K

    更新日期:2013-01-01 00:00:00

  • Microscopic colitis: a misnomer for a clearly defined entity?

    abstract::In recent years, several endoscopic features of microscopic colitis have been noted. The pickup of these on colonoscopy depends on local expertise, endoscopic technology, and case volume. As the incidence of microscopic colitis has increased, we wanted to draw attention to endoscopists' ability to recognize such findi...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1391986

    authors: Yung DE,Koulaouzidis A,Fineron P,Plevris JN

    更新日期:2015-08-01 00:00:00

  • Impact of mechanical simulator practice on clinical ERCP performance by novice surgical trainees: a randomized controlled trial.

    abstract:BACKGROUND:Lack of forward-viewing endoscopy experience impairs training in endoscopic retrograde cholangiopancreatography (ERCP). We evaluated the effect of ERCP mechanical simulator (EMS) practice on ERCP performance by surgical trainees. PATIENTS AND METHODS:12 surgical trainees without endoscopy experience were ra...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/a-1217-6727

    authors: Meng W,Yue P,Leung JW,Wang H,Wang X,Wang F,Zhu K,Zhang L,Zhu X,Wang Z,Zhang H,Zhou W,Li X

    更新日期:2020-11-01 00:00:00

  • Esophageal stents for benign refractory strictures: a meta-analysis.

    abstract:BACKGROUND AND AIMS:Fully covered self-expanding removable stents (SERS) have been considered a viable alternative to serial bougienage. The primary aim of this meta-analysis was to determine the efficacy of SERS for refractory esophageal strictures. METHODS:Medline, Embase, and PubMed databases were searched using th...

    journal_title:Endoscopy

    pub_type: 杂志文章,meta分析

    doi:10.1055/s-0030-1256331

    authors: Thomas T,Abrams KR,Subramanian V,Mannath J,Ragunath K

    更新日期:2011-05-01 00:00:00

  • Endoscopic ultrasound-guided fine-needle aspiration biopsy for lymphadenopathy of unknown origin.

    abstract:BACKGROUND AND STUDY AIMS:The diagnosis of mediastinal and intra-abdominal lymphadenopathy is sometimes difficult, especially in patients who have no other primary lesions. Lymphoma is one of the main causes of this condition. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a safe and accurate diagnost...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2006-944665

    authors: Yasuda I,Tsurumi H,Omar S,Iwashita T,Kojima Y,Yamada T,Sawada M,Takami T,Moriwaki H,Soehendra N

    更新日期:2006-09-01 00:00:00

  • The role of video capsule endoscopy in the diagnosis of digestive diseases: a review of current possibilities.

    abstract::Video capsule endoscopy represents a significant advance in the investigation of intestinal diseases. The performance of the procedure and indications are reviewed here in order to establish guidelines for its use, in accordance with current knowledge from the published literature. Capsule endoscopy is performed in pa...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2004-825868

    authors: Gay G,Delvaux M,Rey JF

    更新日期:2004-10-01 00:00:00

  • Value of EUS in early detection of pancreatic ductal adenocarcinomas in patients with intraductal papillary mucinous neoplasms.

    abstract:BACKGROUND AND STUDY AIMS:Pancreatic ductal adenocarcinomas (PDAC) sometimes arise in patients with intraductal papillary mucinous neoplasms (IPMNs). This study examined the incidence of PDACs concomitant to or derived from branch duct IPMNs. The usefulness of endoscopic ultrasonography (EUS) relative to other imaging ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0033-1353603

    authors: Kamata K,Kitano M,Kudo M,Sakamoto H,Kadosaka K,Miyata T,Imai H,Maekawa K,Chikugo T,Kumano M,Hyodo T,Murakami T,Chiba Y,Takeyama Y

    更新日期:2014-01-01 00:00:00

  • Accuracy and concordance of endocytoscopic atypia for the diagnosis of gastric cancer.

    abstract:BACKGROUND AND AIM:High-grade atypia demonstrated by endocytoscopy may be a key criterion for the diagnosis of gastric cancer. We therefore sought to verify whether endocytoscopic atypia can provide satisfactory levels of diagnostic accuracy and concordance among trainee and expert endoscopists. METHOD:A total of 100 ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1377524

    authors: Kaise M,Kimura R,Nomura K,Kuribayashi Y,Kikuchi D,Iizuka T,Ohkura Y

    更新日期:2014-10-01 00:00:00

  • Death following fiberoptic gastroscopy caused by pheochromocytoma.

    abstract::A 45-year-old woman was admitted to hospital for investigation of weight loss, sciatica and excess sweating. On examination, whe was found to have a tachycardia and the stigmata of von Recklinghausen's disease. Her investigations included a barium meal and gastroscopy. Following the gastroscopy, she developed ventricu...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098490

    authors: Crowe J,Bottomley K,McCarthy CF

    更新日期:1977-03-01 00:00:00

  • Asbestos-induced pleural diseases--thoracoscopic aspects.

    abstract::The endoscopic morphology of asbestos-induced pleural disease is demonstrated by typical thoracoscopic findings. Among 627 thoracoscopies, lesions induced by exposure to asbestos were found in 9.9% (50 malignant mesotheliomas of the pleura, 10 pleural hyalinoses, 2 asbestos pleurisies). This comparatively high percent...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018148

    authors: Luther R,Wetzer K,Kühne W,Spormann H,Böttger W

    更新日期:1988-05-01 00:00:00

  • Gastric stump cancer: etiopathological and clinical aspects.

    abstract::Between 1959 and 1987, at the Innsbruck University Hospital, 359 cases of carcinoma were diagnosed in the gastric remnant. While until 1975 in 203 patients suffering from stump carcinoma the tumor stages T3 and T4 were significantly prevalent, a strong tendency towards the less advanced tumor stages T1 and T2 was obse...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1012917

    authors: Pointner R,Schwab G,Königsrainer A,Bodner E,Schmid KW

    更新日期:1989-05-01 00:00:00

  • Is laser lithotripsy the most successful and the safest advanced lithotripsy technique for retained biliary tract stones?

    abstract:: ...

    journal_title:Endoscopy

    pub_type: 评论,信件

    doi:10.1055/a-0754-5859

    authors: Jin Z,Yang J,Jin H,Zhang X

    更新日期:2019-01-01 00:00:00

  • Endoanal ultrasound-guided surgery for anal fistula.

    abstract:BACKGROUND AND STUDY AIMS:Outcomes following surgical treatment of patients with anal fistula are related to eradication of tracts and the internal opening. In this study, the results of surgery based on endoanal ultrasound (EAUS) findings were evaluated. PATIENTS AND METHODS:A total of 102 patients with primary crypt...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2005-870155

    authors: Ratto C,Grillo E,Parello A,Costamagna G,Doglietto GB

    更新日期:2005-08-01 00:00:00

  • DDW Report 2004 New Orleans: Capsule Endoscopy.

    abstract::Capsule endoscopy (CE) is still of considerable interest and, as in recent years, a large number of abstracts have been devoted to CE in various possible indications. As with the other reports, only the most relevant studies and those covering special and new aspects are discussed in detail here. The remaining abstrac...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2004-825815

    authors: Rösch T

    更新日期:2004-09-01 00:00:00

  • Endoscopic submucosal dissection for early esophageal cancer in elderly patients with relative indications for endoscopic treatment.

    abstract:BACKGROUND:According to the Japanese Esophageal Society (JES) guidelines, early esophageal squamous cell carcinoma (SCC) involving the muscularis mucosae (M3) or upper submucosal (SM1) layers are relative indications for endoscopic submucosal dissection (ESD). Additional esophagectomy or chemoradiotherapy is recommende...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0577-2560

    authors: Qi ZP,Chen T,Li B,Ren Z,Yao LQ,Shi Q,Cai SL,Zhong YS,Zhou PH

    更新日期:2018-09-01 00:00:00

  • A new pull-through trocar technique for percutaneous operative endoscopy.

    abstract::A pull-through trocar is described which establishes a percutaneous access to the stomach and may immediately be used for endoscopy. The trocar is placed in a similar fashion to PEG probes. The technique was evaluated in animals. Using rigid endoscopes and instruments introduced through the trocar operative manipulati...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010711

    authors: Frimberger E,Classen M

    更新日期:1991-11-01 00:00:00

  • Endoscopic submucosal dissection of early colorectal tumors using a grasping-type scissors forceps: a preliminary clinical study.

    abstract::To reduce the risk of complications related to endoscopic submucosal dissection (ESD), we developed a new grasping-type scissors forceps (GSF), which can grasp and incise the targeted tissue using an electrosurgical current. We prospectively evaluated the efficacy and safety of ESD using GSF for the removal of colorec...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0029-1243973

    authors: Akahoshi K,Okamoto R,Akahane H,Motomura Y,Kubokawa M,Osoegawa T,Nakama N,Chaen T,Oya M,Nakamura K

    更新日期:2010-05-01 00:00:00