Related Experiment Video
Updated: May 7, 2026

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
Published on: June 13, 2025
Splenic infarction after N-butyl-2-cyanoacrylate injection for gastric varices: why does it happen?
Aydin S Köksal1, Ertuğrul Kayaçetin, Serkan Torun
1Departments of *Gastroenterology †Radiology, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey.
Abstract:
Recent guidelines and consensus reports recommend endoscopic injection therapy with N-butyl-2-cyanoacrylate as the first-line treatment for bleeding-isolated gastric varices and gastroesophageal varices types 1 and 2. Embolization is a rare but serious complication of cyanoacrylate injection, which may be fatal in some cases. Herein, we present a patient who developed splenic infarction after N-butyl-cyanoacrylate injection for gastroesophageal varices type 2 and discuss the potential reasons and tips to prevent the occurence of embolization.
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