Endoscopic ultrasound-guided left gastric vein embolization for esophageal and gastric varices in liver cirrhosis: A case report.
Hongxue Lu, XinYao Yang, Chao Huang et al.
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Case in brief
A 47-year-old man with decompensated cirrhosis presented with hematemesis and melena. Imaging revealed portal hypertension and gastroesophageal varices. Endoscopic ultrasound identified multiple perforating veins from the left gastric vein, which was embolized using a coil and Lauromacrogol. This intervention successfully abolished blood flow in the left gastric vein and significantly reduced the flow velocity in the varices, with no complications during follow-up.
Diagnostic / clinical pearl
EUS-guided embolization of the left gastric vein can effectively manage esophageal and gastric varices in patients with cirrhosis, potentially reducing recurrence rates.