title: Visceral artery embolization after endoscopic injection of Enteryx for gastroesophageal reflux disease.
abstract: Gastroesophageal reflux disease (GERD) can be difficult to manage medically and may require endoscopic or surgical interventions. The Enteryx procedure was designed to enhance the gastroesophageal barrier function by endoscopic injection of a copolymer into the lower esophageal sphincter. We present a rare case of a patient who was found to have migration of the copolymer into the celiac trunk and bilateral renal arteries during a work-up for persistent intermittent hematuria, which began shortly after Enteryx therapy for GERD.
authors.affiliation: Department of Radiology, Loma Linda University Medical Center, Loma Linda, CA, USA.
authors.forename: Naseem
authors.initials: N
authors.lastname: Helo
authors.affiliation: Section of Interventional Radiology, Imaging Institute Cleveland Clinic Foundation, Cleveland, OH, USA.
authors.forename: Alex
authors.initials: A
authors.lastname: Wu
authors.affiliation: Section of Interventional Radiology, Imaging Institute Cleveland Clinic Foundation, Cleveland, OH, USA.
authors.forename: Eunice
authors.initials: E
authors.lastname: Moon
authors.affiliation: Section of Interventional Radiology, Imaging Institute Cleveland Clinic Foundation, Cleveland, OH, USA.
authors.forename: Weiping
authors.initials: W
authors.lastname: Wang
mesh_terms: D000328:Adult; D002445:Celiac Artery / Q000000981:diagnostic imaging*; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D004724:Endoscopy; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging*; D005764:Gastroesophageal Reflux / Q000628:therapy*; D006801:Humans; D007267:Injections; D008297:Male; D011145:Polyvinyls / Q000008:administration & dosage*; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging*; D055815:Young Adult
chemical_list: D011145:Polyvinyls; C020320:ethylene-vinyl alcohol copolymer
keywords: Enteryx; GEJ; GERD; embolization; hematuria