Clin Trans Gastro: Absorbable gelatin sponge embolism under endoscopy ultrasound is superior to traditional cyanide injections to treat gastric veins

Introduction:gastric varicose (GV) bleeding is a complication of cirrhosisTraditional endoscopy therapy for cyanide (CYA) injections can be challenging, while endoscopic ultrasound (EUS)-guided hemostatic coils have shown high treatment success ratesThe purpose of this study was to compare the differences in the clinical results of EUS-guided coil embolism with endoscopy CYA injection treatment GVhow to:The researchers conducted a matching cohort study using a forward-looking registry involving two three-level centersA total of 10 patients treated with EUS-based coils matched 30 patients receiving CYA injections in a 1:3 mannerMatching criteria include GV type, Charlson comorbidity index, and bleeding severityThe main result is technical success and complicationsThe secondary result was rebleeding rate, re-intervention rate, total blood transfusion needs and time-of-event analysis (re-bleeding, re-intervention and blood transfusion)Result:The technical success rate of EUS coil therapy is 100%, while the technology success rate of CYA injection is 96.7% (P - 1.0)The incidence of complications in the EUS coil group was 10%, while the CYA group was 20% (P - 0.65)At 9 months, EUS coil patients did not bleed again, compared with 38% in the CYA groupPatients without EUS coils need blood transfusions to treat GV rebleeding, while more than 50% of CYA patients require blood transfusions Ten per cent of EUS coil patients need to intervene again, compared with 60 per cent of CYA patients Re-intervention time of the EUS coil group, GV rebleeding time and blood transfusion time are longer (all P 05) discussion: The EUS-guided coil injection appears to be superior to GV treatment compared to CYA