title: Practical approach to endoscopic management for bleeding gastric varices.
abstract: Bleeding from gastric varices is generally more severe than bleeding from esophageal varices, although it occurs less frequently. Recently, new endoscopic treatment options and interventional radiological procedures have broadened the therapeutic armamentarium for gastric varices. This review provides an overview of the classification and pathophysiology of gastric varices, an introduction to current endoscopic and interventional radiological management options for gastric varices, and details of a practical approach to endoscopic variceal obturation using N-butyl-2-cyanoacrylate.
authors.affiliation: Department of Gastroenterology, Liver Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea. limys@amc.seoul.kr
authors.forename: Young-Suk
authors.initials: YS
authors.lastname: Lim
mesh_terms: D004659:Enbucrilate / Q000627:therapeutic use*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004932:Esophageal and Gastric Varices / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006801:Humans; D015911:Sclerotherapy / Q000379:methods
chemical_list: D004659:Enbucrilate