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Updated: Jan 18, 2026

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
04:09

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices

Published on: June 13, 2025

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Endovascular Interventions Reduce Rebleeding in Patients With Gastric Varices: An Individual Patient Data

Sagnik Biswas1, Arnav Aggarwal1, Gin-Ho Lo2

  • 1Department of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India.

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
|January 15, 2026
PubMed
Summary

Endovascular interventions like balloon occluded retrograde transvenous obliteration (BRTO) and transjugular intrahepatic portosystemic shunt (TIPS) are more effective than endoscopic cyanoacrylate injection (ECI) for preventing gastric variceal rebleeding in cirrhosis patients. However, BRTO may worsen ascites and TIPS can increase hepatic encephalopathy risk.

Keywords:
CirrhosisDecompensationLiverPortal HypertensionTIPS

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