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Acute Variceal Bleeding

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Cyanoacrylate Obturation<br />

• Tissue adhesive<br />

– N-butyl-cyanoacrylate<br />

– Isobutyl-2-cyanoacrylate<br />

– Thrombin<br />

• <strong>Acute</strong> fundal GV<br />

bleeding<br />

– Better initial control of<br />

bleeding<br />

– Lower re-bleeding rate<br />

Sarin S et al. Am J Gastro 2002<br />

Lo G et al. Hepatology 2001

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