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Endoscopic variceal ligation caused massive bleeding due to laceration of an esophageal varicose vein with tissue glue emboli英文书.pdf

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Submit a Manuscript: /esps/ Help Desk: /esps/helpdesk.aspx DOI: 10.3748/wjg.v20.i42.15937 World J Gastroenterol 2014 November 14; 20(42): 15937-15940 ISSN 1007-9327 (print) ISSN 2219-2840 (online) ? 2014 Baishideng Publishing Group Inc. All rights reserved. CASE REPORT Endoscopic variceal ligation caused massive bleeding due to laceration of an esophageal varicose vein with tissue glue emboli Xiu-Qing Wei, Hua-Ying Gu, Zhi-E Wu, Hui-Biao Miao, Pei-Qi Wang, Zhuo-Fu Wen, Bin Wu Xiu-Qing Wei, Hua-Ying Gu, Zhi-E Wu, Hui-Biao Miao, Pei- Qi Wang, Zhuo-Fu Wen, Bin Wu, Department of Gastroenter- ology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China Author contributions: Wei XQ collected the data and wrote the paper; Wei XQ, Gu HY, Wu ZE, Miao HB, Wang PQ, Wen ZF and Wu B analyzed the data and diagnosed and treated the patient. Supported by National Natural Science Foundation of China, No.and No. and Guangdong Science and Technology Program, No. 2010B031200008 and No. 2012B031800043 Correspondence to: Xiu-Qing Wei, MD, PhD, Associate Professor, Department of Gastroenterology, the Third Affili- ated Hospital of Sun Yat-Sen University, No. 600, Tianhe Road, Tianhe District, Guangzhou 510630, Guangdong Province, China. wei-xiuqing@163.com Telephone: +86-20Fax: +86-20Received: June 18, 2014 Revised: August 29, 2014 Accepted: September 29, 2014 Published online: November 14, 2014 Abstract Endoscopic variceal obturation of gastric varices with tissue glue is considered the first choice for management of gastric varices, and is usually safe and effective. However, there is still a low incidence of complications and some are even fatal. Here, we present a case in which endoscopic variceal ligation caused laceration of the esophageal varicose vein with tissue glue emboli and massive bleeding after 3 mo. Cessation of bleeding was achieved via variceal sclerotherapy using a cap-fitted gastrosc