Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
You currently have no recent searches
McKiernan, P. J.1; Baumann, U.1; Kelly, D. A.1; Wong, T.2
1The Liver Unit, Birmingham Children’s Hospital, Birmingham, 2Gastroenterology, St Thomas’s Hospital, London, United Kingdom
Submitted by: email@example.com
Introduction: The best treatment for gastric variceal bleeding is unknown. Endoscopic injection of human thrombin is effective but definition of a therapeutic end point is difficult. Endoscopic ultrasound is better than videoendoscopy for detecting gastric varices and can monitor endotherapy. This combination however necessitates oesophageal re-intubation and dedicated equipment. Endoscopic ultrasound miniprobes (EUM) can be passed via the operating channel of a conventional videoendoscope. EUM can detect gastric varices but have not previously been used to monitor endotherapy.
Methods: Aim. To describe the novel use of EUM to monitor endotherapy of gastric varices
Results: Case report 1. A 13 year old girl with gastric variceal bleeding underwent endotherapy with human thrombin. Using a dual channel videoendoscope simultaneous imaging by an EUM applied to the varix confirmed opacification of the variceal lumen. At repeat examination 6 weeks later the variceal lumen remained opacified. After 9 months follow up she has had no further bleeding.
Case report 2. A 9 year old boy with gastric variceal bleeding underwent endotherapy with human thrombin on 2 occasions. Surveillance endoscopy 2 months later showed the gastric varix to be still present but simultaneous imaging with EUM confirmed ablation of the variceal lumen. Repeat endoscopy 6 months later showed involution of the gastric varix and he has had no further bleeding.
Conclusion: An endoscopic ultrasound miniprobe can be used to monitor endotherapy of gastric varices by human thrombin injection without the need for oesophageal re-intubation
© 2004 Lippincott Williams & Wilkins, Inc.
Colleague's E-mail is Invalid
Your Name: (optional)
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Journal of Pediatric Gastroenterology and Nutrition.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection
Article Level Metrics
Visit JPGN.org on your smartphone. Scan this code (QR reader app required) with your phone and be taken directly to the site.