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Articles Published Processes
9/10/2014 7:06:00 PM | Browse: 1262 | Download: 1025
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Received |
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2013-10-29 21:47 |
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Peer-Review Started |
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2013-10-31 09:07 |
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To Make the First Decision |
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2013-12-13 13:30 |
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Return for Revision |
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2013-12-16 19:39 |
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Revised |
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2014-01-16 23:09 |
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Second Decision |
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2014-02-18 12:01 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2014-02-18 12:31 |
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Articles in Press |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2014-03-13 10:38 |
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Publish the Manuscript Online |
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2014-03-19 20:40 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Minireviews |
Article Title |
Management of gastric variceal bleeding: Role of endoscopy and endoscopic ultrasound
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Manuscript Source |
Invited Manuscript |
All Author List |
Mohit Girotra, Saikiran Raghavapuram, Rtika R Abraham, Mrinal Pahwa, Archna R Pahwa and Rayburn F Rego |
Funding Agency and Grant Number |
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Corresponding Author |
Mohit Girotra, MD, Division of Gastroenterology and Hepatology, Department of Medicine, University of Arkansas for Medical Sciences (UAMS), 4301 W. Markham Street, Shorey S8-68, Mailslot # 567, Little Rock, AR 72202, United States. mgirotra@uams.edu |
Key Words |
Gastric; Varices; Endoscopy; Ligation; Sclerotherapy; Management; Transjugular intrahepatic portosystemic shunt; Endoscopic ultrasound; Balloon-occluded retrograde transvenous obliteration; Endoscopic variceal obliteration |
Core Tip |
This mini-review addresses endoscopic management principles for gastric variceal bleeding. Endoscopic variceal obliteration (EVO) with tissue adhesives is the currently accepted strategy for controlling bleeding and eradicating gastric varices (GVs). EVO is deemed better than both variceal ligation and sclerotherapy in randomized controlled trials. One unsettled issue with EVO is if routine reinjection is better than reinjection in case of rebleeding. The experience with combination treatments is still premature. For secondary prophylaxis, EVO, transjugular intrahepatic portosystemic shunt or beta-blocker use is recommended. Emerging use of EUS provides optimism of better diagnosis, improved classification, innovative management strategies and confirmatory tool for eradication of GVs. |
Publish Date |
2014-03-19 20:40 |
Citation |
Girotra M, Raghavapuram S, Abraham RR, Pahwa M, Pahwa AR, Rego RF. Management of gastric variceal bleeding: Role of endoscopy and endoscopic ultrasound. World J Hepatol 2014; 6(3): 130-136 |
URL |
http://www.wjgnet.com/1948-5182/full/v6/i3/130.htm |
DOI |
http://dx.doi.org/10.4254/wjh.v6.i3.130 |
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