Mo1352 Manometric Evaluation of Endoscopic Ultrasound Guided Botulinum Toxin Injection Into the Internal Anal Sphincter in Patients With Anal Sphincter Dyssynergia

Abstract

of the varices with endoscopy probe was considered as an indicator of that gastric varices were not eradicated. But if pillow sign was negative, it was thought that the varices were eradicated. With EUS doppler examination of the same varices, if there was flow, it was decided that the varices were not eradicated. Except the experienced endoscopist who performed the gastroscopy and EUS, the varicose veins were visualized by two other experienced endoscopists. Kappa statistics were used to evaluate the interobserver agreement. Results: Eighteen patients were included, 10 men (%55) and 8 women (%45) with an average age of 53.4 years (range 19 to 74 years). The etiology of the portal hypertension was splenic vein thrombosis in 2 (% 11.1) patients, portal vein thrombosis in 1 (%5.5) patient, and cirrhosis in other 15 (%83.3) patients. The mean injection session number was 2 (range 1 to 5). Seven (% 38.8) patients who had pillow sign in gastroscopy, had also flow in EUS doppler examination and it was repeated the cyanoacrylate injection. Eleven (%61.2) patients with negative pillow sign that were thought to have successful eradication, had no flow in EUS doppler examination. Conclusion: Endoscopically negative pillow sign is adequate for the eradication decision of the gastric varices which were enjected cyanoacrylate, examination with EUS does not contribute an additional benefit.