for this type of patients. This study was carried out to make known
the demographic characteristics of patients with gastric varices with
or without the presence of esophageal varices that were taken to cya-
nocrylate sclerotherapy (CYP). Endoscopic fndings, outcomes and
complications are described. Data used to evaluate the safety and ef-
fcacy of the procedure in the management of patients with or without
active variceal bleeding.
This observational descriptive retrospective cross-sectional study
included patients with manifest portal hypertension with esophageal
and fundic varices, a total of 132 sclerotherapy procedures with cya-
noacrylate mixed with lipiodol.
We included 132 records of sclerotherapy with CYA, with equal
gender distribution. Esophageal varices were found in 90.2% (119
records). In 31 procedures the indication was emergency bleeding
(23.5%), of these 7 had CP-A, 12 CP-B, 0 CP-C and 12 without data.
Out of the 101 elective interventions, 34 had CP-A, 24 CP-B, 6 CP-C
and 37 without data, with no signifcant differences between groups (p
value = 0.1). Homeostasis was achieved in 100% of patients with ac-
tive bleeding. Varice sclerosis was successful with a single puncture
in 81.1%, two punctures in 13.6% and three or more in 5.3% of the
procedures. There were no complications in any of the patients, nor
damage in the equipment used. In conclusión Endoscopic obliteration
of fundic varices with CYP was safe and effective in the treatment of
upper gastric variceal bleeding, without clinical complications in the
procedure or damage to the endoscopic equipment used.
Key words: Portal hypertension; Varicose vein sclerosis; Cirrhosis
© 2019 The Author(s). Published by ACT Publishing Group Ltd.
All rights reserved.
Maldonado C, Jimenez F, Sepulveda M, Garcia J, Herrera D, Castro
A, Aguirre M, Rojas C, Rodriguez F. Sclerosis of Fundic Varices.
Experience in a Reference Center in the South West of Colombia.
2011-2017. Journal of Gastroenterology and Hepatology Research
2019; 8(5): 2980-2983 Available from: URL: http://www.ghrnet.org/
index.php/joghr/article/view/2648
INTRODUCTION
Portal hypertension secondary to cirrhosis or other conditions leads to
1 Specialist Physician of the Gastroenterology and Endoscopy Ser-
vice, Valle del Lili Foundation, University Hospital, Cali, Colombia;
2 Resident in Internal Medicine, Faculty of Health Sciences, Icesi
University, Cali, Colombia;
3 Statistician, Clinical Research Center, Valle del Lili Foundation,
University Hospital, Cali, Colombia;
4 Methodological Consultant, MD, MPH. Clinical Research Center,
Valle del Lili Foundation, University Hospital, Cali, Colombia;
5 Professor, Department of Public Health and Community Medicine,
Faculty of Health Sciences, Icesi University, Cali, Colombia;
6 Medical Assistant of the Service of Gastroenterology and Endos-
copy, Valle del Lili Foundation, University Hospital, Cali, Colombia.
Confict-of-interest statement: The author(s) declare(s) that there
is no confict of interest regarding the publication of this paper.
Open-Access: This article is an open-access article which was
selected by an in-house editor and fully peer-reviewed by external
reviewers. It is distributed in accordance with the Creative Com-
mons Attribution Non Commercial (CC BY-NC 4.0) license, which
permits others to distribute, remix, adapt, build upon this work non-
commercially, and license their derivative works on different terms,
provided the original work is properly cited and the use is non-
commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Catalina Maldonado Gutiérrez, Specialist
Physician of the Gastroenterology and Endoscopy Service, Valle del
Lili Foundation, University Hospital, Cali, Colombia.
Email: Catamaldonado@gmail.com, dr-fernandorodriguez@hotmail.
com
Telephone: +57 (2) 331 9090
Received: August 2, 2019
Revised: August 30, 2019
Accepted: September 2, 2019
Published online: October 21, 2019
ABSTRACT
Treatment of variceal bleeding in the esophagus and fundus is a clinic
challenge which sometimes leads to seeking alternative management
ORIGINAL ARTICLE
Sclerosis of Fundic Varices. Experience in a Reference Center
in the South West of Colombia, 2011-2017
Catalina Maldonado Gutiérrez
1
, Diego Fernando Jiménez
1
, Mauricio Sepúlveda
1
, Jairo Alberto García Abadía
1
, Di-
ana Herrera
6
, Andrés Castro
3
, Marisol Aguirre Rojas
4,5
, Carlos Arturo Rojas
1
, Fernando Rodríguez Bayona
2
280
Journal of GHR 2019 October 21; 8(5): 2980-2983
ISSN 2224-3992 (print) ISSN 2224-6509 (online)
Online Submissions: http://www.ghrnet.org/index./joghr/
doi: 10.17554/j.issn.2224-3992.2019.08.854
Journal of
Gastroenterology and Hepatology Research