Use of cyanoacrylate glue in gastric variceal bleed: a modified technique without using lipiodol.

Abstract

We know that varices have the thinnest wall at the gastroesophageal (GE) junction and, with an increase in portal pressure beyond 12 mm Hg, they can rupture and cause a torrential bleed. To salvage this situation, we use injections of n-butyl-2-cyanoacrylate to achieve hemostasis.