Endoscopic Ultrasound Guided Treatment of Peristomal Varices

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dc.contributor.authorSarkis, Yara
dc.contributor.authorMasuoka, Howard
dc.contributor.authorGhabril, Marwan
dc.contributor.authorGutta, Aditya
dc.contributor.authorAl-Haddad, Mohammad A.
dc.contributor.authorDeWitt, John M.
dc.contributor.departmentMedicine, School of Medicine
dc.date.accessioned2023-09-07T19:14:06Z
dc.date.available2023-09-07T19:14:06Z
dc.date.issued2023
dc.description.abstractBackground and aims The use of endoscopic ultrasound (EUS) for peristomal varices (PV) is limited to case reports. Methods Patients who underwent EUS-guided treatment of PV with cyanoacrylate (CYA) and/or coils between 04/2013 and 12/2019 were identified. All had failed previous therapies or had comorbidities precluding other options. Endoscopic technique, adverse events (AEs), rebleeding and repeat interventions were assessed. Results 20 patients (12 male, median: 62 years (IQR, 54.8-69.5) underwent initial EUS PV injection of CYA for secondary (n=19) or primary prophylaxis (n=1). Within 30 days, AEs occurred in 11 (55%) and 8 were mild. During a median 2.5 months (IQR, 2-8.5) follow-up, confirmed (n=6) or suspected (n=2) PV bleeding recurred; five of 8 recurrences were retreated with CYA and/or coils without AEs. After retreatment, PV bleeding recurred in two a median 6 months (IQR, 6-30) later. Conclusion EUS appears to be a safe and promising technique for treatment of PV.
dc.eprint.versionAuthor's manuscript
dc.identifier.citationSarkis, Y., Masuoka, H., Ghabril, M., Gutta, A., Al-Haddad, M. A., & DeWitt, J. M. (2023). Endoscopic Ultrasound Guided Treatment of Peristomal Varices. Gastrointestinal Endoscopy. https://doi.org/10.1016/j.gie.2023.06.026
dc.identifier.other37385550
dc.identifier.urihttps://hdl.handle.net/1805/35469
dc.language.isoen
dc.publisherElsevier
dc.relation.isversionof10.1016/j.gie.2023.06.026
dc.relation.journalGastrointestinal Endoscopy
dc.rightsPublisher Policy
dc.sourceAuthor
dc.subjectEUS
dc.subjectcoils
dc.subjectcyanoacrylate
dc.subjectectopic varices
dc.subjectperistomal varices
dc.subjectvariceal bleeding
dc.titleEndoscopic Ultrasound Guided Treatment of Peristomal Varices
dc.typeArticle
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