Results of endoscopic band ligation and histoacryl injection in the management of acute gastric variceal bleeding (type gov1) at Viet-Czech Friendship Hospital

Abstract

Objectives: To evaluate the efficacy and safety of band ligation and histoacryl injection in the management of acute gastric variceal bleeding (type GOV1). Method: A perspective descriptive study. Patients: 83 patients with gastric variceal bleeding (type GOV1) were performed in department of gastroenterology at Viet-Czech Friendship Hospital from 10/2020 to 9/2022. Results: Of 83 patients, 96.39% men, median age of 57.5 ± 10.42 (34-82) years. There were 9 cases (10.84%) combined with band ligation and histoacryl injection; 50 (60.24%) were band ligation and 24 (28.92%) were injected with histoacryl alone. Median of histoacryl was 1.1 ± 0.38 (0.5-1.5) ml. The technical success rate was 100%. Haemostasis in emergency was 55/55 patients (100%). Haemorrhage recurrent rate was during 12 months (11.84%).  Eradication of gastric varices after histoacryl injection (94.45%) and band ligation (86.21%) within three months. Complications: epigastric pain rate was 15.66%; there was not case with septicemia and embolism. Conclusions: endoscopic band ligation and histoacryl injection are effective and safe measure in the treatment of gastric varices bleeding (type GOV1).