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  • Title: Splenic infarction after N-butyl-2-cyanoacrylate injection for gastric varices: why does it happen?
    Author: Köksal AS, Kayaçetin E, Torun S, Erkan V, Ökten RS.
    Journal: Surg Laparosc Endosc Percutan Tech; 2013 Oct; 23(5):e191-3. PubMed ID: 24105294.
    Abstract:
    Recent guidelines and consensus reports recommend endoscopic injection therapy with N-butyl-2-cyanoacrylate as the first-line treatment for bleeding-isolated gastric varices and gastroesophageal varices types 1 and 2. Embolization is a rare but serious complication of cyanoacrylate injection, which may be fatal in some cases. Herein, we present a patient who developed splenic infarction after N-butyl-cyanoacrylate injection for gastroesophageal varices type 2 and discuss the potential reasons and tips to prevent the occurence of embolization.
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