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There is much recent interest in using endoscopic ultrasound (EUS) guidance in treating gastric varices. These patients traditionally have few endoscopic options. EUS has been used to inject cyanoacrylate glues or endovascular coils (made for interventional radiology and used off label) or both into varices, leading to thrombosis; however, these techniques have not been well studied. This prospective study compared EUS-guided injection of cyanoacrylate glue and coil injection with coil injection alone.
Sixty patients were randomized, 30 to each group. Enrollees were either actively bleeding, had a history of bleeding, or were eligible for primary prophylaxis. The median number of coils placed was two in the combined treatment group and three…