How is gastric variceal bleeding treated

How is gastric variceal bleeding treated? 

Gastric varices are generally not amenable to EBL or sclerotherapy (except those that extend from the esophagus to the lesser curvature; GOV1 varices).

Cyanoacrylate glue injection is an alternative endoscopic technique for gastric varices.

Balloon-occluded retrograde transvenous obliteration or balloon-occluded anterograde transvenous obliteration are alternative radiologic procedures increasingly used for the management of gastric variceal bleeding in patients with hepatic encephalopathy, or contraindications to TIPS, in the presence of a gastrorenal shunt.


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