Abstract
Isolated gastric varices can result in massive hemorrhage and lead to death or secondary liver failure. Therefore, gastric varices are treated not only in emergency cases but also prophylactically. Endoscopic injection sclerotherapy (EIS) and interventional radiology including balloon-occluded retrograde transvenous obliteration (B-RTO) are performed to eradicate gastric varices, and good results have been reported. In emergency case, EIS can stop bleeding from gastric varices using histoacryl or α-cyanoacrylate monomer (CA). In addition, in prophylactic case, EIS using the EO/ET/CA method can eradicate gastric variceal lumens completely. We discuss herein the endoscopic treatment methods and examinations needed to select treatment methods. In addition, EIS using CA is explained in detail.
