Fig. 5 | Scientific Reports

Fig. 5

From: A randomized controlled trial comparing large-volume band ligator and cyanoacrylate injection in the endoscopic management of actively bleeding gastric varices

Fig. 5

EVO of tortuous GV bleeding with a gastrorenal shunt. (A) Tortuous variceal bleeding is identified using an inverted gastrointestinal endoscope. (B) CTA image of combined gastrorenal shunt. (C) A haemostatic clip is clamped at one end of the GV. (D) On the basis of (C), another haemostatic clip is clamped at the middle stenosis of the GV. (E) Cyanoacrylate is injected into the GV between the two clips. (F) Three months after EVO, inverted endoscopy examination reveals GV occlusion and one haemostatic clip remained. EVO, Endoscopic variceal obturation; GV, Gastric varices; CTA, Computed tomography three-dimensional angiography.

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