title: An endoscopic injection with N-butyl-2-cyanoacrylate used for colonic variceal bleeding: a case report and review of the literature.
abstract: We report a 64-yr-old patient with liver cirrhosis and bleeding esophageal varices that were obliterated by repeated endoscopic sclerotherapy. Eleven years later, he developed a massive, life-threatening rectosigmoid variceal hemorrhage. An endoscopic injection with N-butyl-2-cyanoacrylate (Histoacryl), performed over the rectosigmoid varices, achieved temporary hemostasis. The etiology, prevalence, relationship with portal hypertension, diagnosis, and treatment of colorectal varices are discussed.
authors.affiliation: Department of Medicine, Veterans General Hospital-Taipei, Taiwan.
authors.forename: W C
authors.initials: WC
authors.lastname: Chen
authors.forename: M C
authors.initials: MC
authors.lastname: Hou
authors.forename: H C
authors.initials: HC
authors.lastname: Lin
authors.forename: F Y
authors.initials: FY
authors.lastname: Chang
authors.forename: S D
authors.initials: SD
authors.lastname: Lee
mesh_terms: D012809:Colon, Sigmoid / Q000098:blood supply; D003113:Colonoscopy; D004659:Enbucrilate / Q000627:therapeutic use*; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D016558:Hemostasis, Endoscopic; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012007:Rectum / Q000098:blood supply*; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014648:Varicose Veins / Q000628:therapy*
chemical_list: D006490:Hemostatics; D014014:Tissue Adhesives; D004659:Enbucrilate