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Gastric Variceal Bleed in Pregnancy
Junaid Ahmed1, Kranthi Dandi, Amol S Dahale
1Department of Medical Gastroenterology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.
Annals of African Medicine
|August 10, 2026
Summary
This case study shows successful management of gastric variceal bleeding during pregnancy using endoscopic interventions like cyanoacrylate glue injection and variceal ligation, ensuring positive maternal and fetal outcomes.
Area of Science:
- Gastroenterology
- Hepatology
- Obstetrics
Background:
- Gastric variceal bleeding is a rare, life-threatening complication of portal hypertension.
- Managing this condition during pregnancy presents unique challenges due to maternal and fetal risks.
Purpose of the Study:
- To report a successful case of managing gastric variceal bleeding in a pregnant patient.
- To emphasize the efficacy of endoscopic interventions and multidisciplinary care.
Main Methods:
- A 25-year-old primigravida with diagnosed portal hypertension, esophageal varices (EV), and gastric varices (GOV2) underwent endoscopic treatment.
- Cyanoacrylate glue injection for gastric varices followed by endoscopic variceal ligation for esophageal varices.
Main Results:
- Immediate hemostasis of gastric varices was achieved with cyanoacrylate glue injection.
- Esophageal varices were completely obliterated with endoscopic variceal ligation.
- The patient had a favorable maternal and fetal outcome, delivering a healthy baby.
Conclusions:
- Early diagnosis and timely endoscopic intervention are crucial for managing variceal bleeding in pregnancy.
- A multidisciplinary approach involving gastroenterologists and obstetricians ensures successful outcomes.
- Endoscopic therapies are safe and effective for treating variceal bleeding during gestation.
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