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Pulmonary glue embolism : an unusual complication following endoscopic sclerotherapy for gastric varices
A pulmonary glue embolism is an unusual but potentially life-threatening complication following the treatment of variceal bleeding, especially in patients with large varices requiring large volumes of sclerosant. Other contributory factors include the rate of injection and ratio of the constituent c...
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| Published in: | Sultan Qaboos University medical journal 2018-05, Vol.18 (2), p.231-235 |
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| container_title | Sultan Qaboos University medical journal |
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| creator | Sidat, Shahid Staicu, Anca Antoniades, Georgios Michael, Philips Jurj |
| description | A pulmonary glue embolism is an unusual but potentially life-threatening complication following the
treatment of variceal bleeding, especially in patients with large varices requiring large volumes of sclerosant. Other
contributory factors include the rate of injection and ratio of the constituent components of the sclerosant (i.e. n-butylcyanoacrylate and lipiodol). This condition may be associated with a delayed onset of respiratory compromise. Therefore,
a high degree of clinical suspicion is essential in patients with unexplained cardiorespiratory decline during or following
endoscopic sclerotherapy. We report a 65-year-old man who was admitted to the Hull Royal Infirmary, Hull, UK, in
2017 with haematemesis and melaena. He subsequently developed acute respiratory distress syndrome secondary to a
glue embolism following emergency sclerotherapy for bleeding gastric varices. The aetiology of the embolism was likely
a combination of the large size of the gastric varices and the large volume of cyanoacrylate needed. After an endoscopy,
the patient underwent transjugular intrahepatic portosystemic shunting twice to control the bleeding, after which he
recovered satisfactorily. |
| doi_str_mv | 10.18295/squmj.2018.18.02.020 |
| format | article |
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treatment of variceal bleeding, especially in patients with large varices requiring large volumes of sclerosant. Other
contributory factors include the rate of injection and ratio of the constituent components of the sclerosant (i.e. n-butylcyanoacrylate and lipiodol). This condition may be associated with a delayed onset of respiratory compromise. Therefore,
a high degree of clinical suspicion is essential in patients with unexplained cardiorespiratory decline during or following
endoscopic sclerotherapy. We report a 65-year-old man who was admitted to the Hull Royal Infirmary, Hull, UK, in
2017 with haematemesis and melaena. He subsequently developed acute respiratory distress syndrome secondary to a
glue embolism following emergency sclerotherapy for bleeding gastric varices. The aetiology of the embolism was likely
a combination of the large size of the gastric varices and the large volume of cyanoacrylate needed. After an endoscopy,
the patient underwent transjugular intrahepatic portosystemic shunting twice to control the bleeding, after which he
recovered satisfactorily.</description><identifier>ISSN: 2075-051X</identifier><identifier>EISSN: 2075-0528</identifier><identifier>DOI: 10.18295/squmj.2018.18.02.020</identifier><identifier>PMID: 30210858</identifier><language>eng</language><publisher>Muscat, Oman: Sultan Qaboos University, College of Medicine and Health Sciences</publisher><subject>Adhesives - adverse effects ; Aged ; Antibiotics ; Case Report ; Case reports ; Cyanoacrylates - adverse effects ; Embolisms ; Endoscopy ; Esophageal and Gastric Varices - therapy ; Gastrointestinal Hemorrhage - therapy ; Humans ; Hypertension ; Liver cirrhosis ; Lungs ; Male ; Medical imaging ; Patients ; Pneumonia ; Pulmonary arteries ; Pulmonary Embolism - diagnostic imaging ; Pulmonary Embolism - etiology ; Pulmonary embolisms ; Respiratory distress syndrome ; Retrospective Studies ; Sclerotherapy - adverse effects ; Sclerotherapy - methods ; Tomography ; Veins & arteries</subject><ispartof>Sultan Qaboos University medical journal, 2018-05, Vol.18 (2), p.231-235</ispartof><rights>Copyright Sultan Qaboos University May 2018</rights><rights>Copyright 2018, Sultan Qaboos University Medical Journal, All Rights Reserved 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-2c6ef138e2f501a63ade48e0fc3d098ec493cf282623ecf10cf82e90fbdc11f53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2116128448/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2116128448?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30210858$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sidat, Shahid</creatorcontrib><creatorcontrib>Staicu, Anca</creatorcontrib><creatorcontrib>Antoniades, Georgios</creatorcontrib><creatorcontrib>Michael, Philips Jurj</creatorcontrib><title>Pulmonary glue embolism : an unusual complication following endoscopic sclerotherapy for gastric varices</title><title>Sultan Qaboos University medical journal</title><addtitle>Sultan Qaboos Univ Med J</addtitle><description>A pulmonary glue embolism is an unusual but potentially life-threatening complication following the
treatment of variceal bleeding, especially in patients with large varices requiring large volumes of sclerosant. Other
contributory factors include the rate of injection and ratio of the constituent components of the sclerosant (i.e. n-butylcyanoacrylate and lipiodol). This condition may be associated with a delayed onset of respiratory compromise. Therefore,
a high degree of clinical suspicion is essential in patients with unexplained cardiorespiratory decline during or following
endoscopic sclerotherapy. We report a 65-year-old man who was admitted to the Hull Royal Infirmary, Hull, UK, in
2017 with haematemesis and melaena. He subsequently developed acute respiratory distress syndrome secondary to a
glue embolism following emergency sclerotherapy for bleeding gastric varices. The aetiology of the embolism was likely
a combination of the large size of the gastric varices and the large volume of cyanoacrylate needed. After an endoscopy,
the patient underwent transjugular intrahepatic portosystemic shunting twice to control the bleeding, after which he
recovered satisfactorily.</description><subject>Adhesives - adverse effects</subject><subject>Aged</subject><subject>Antibiotics</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Cyanoacrylates - adverse effects</subject><subject>Embolisms</subject><subject>Endoscopy</subject><subject>Esophageal and Gastric Varices - therapy</subject><subject>Gastrointestinal Hemorrhage - therapy</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Liver cirrhosis</subject><subject>Lungs</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Patients</subject><subject>Pneumonia</subject><subject>Pulmonary arteries</subject><subject>Pulmonary Embolism - diagnostic imaging</subject><subject>Pulmonary Embolism - etiology</subject><subject>Pulmonary embolisms</subject><subject>Respiratory distress syndrome</subject><subject>Retrospective Studies</subject><subject>Sclerotherapy - adverse effects</subject><subject>Sclerotherapy - methods</subject><subject>Tomography</subject><subject>Veins & arteries</subject><issn>2075-051X</issn><issn>2075-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdklFrFDEQxxdRbKn9CJUFX3y5c5Js9hIfBCnaFgr6oOBbmM1O9vbIbrbJbku_vfGuHtYwJGHmN39mkimKCwZrpriWH9LdMuzWHJjKjjXwbPCiOOWwkSuQXL083tmvk-I8pR3kJdSmZvJ1cSKAM1BSnRbb74sfwojxsez8QiUNTfB9GsqPJY7lMi5pQV_aMEy-tzj3YSxd8D489GNX0tiGZMPU2zJZTzHMW4o4PWYklh2mOebIPead0pvilUOf6PzpPCt-fv3y4_J6dfvt6uby8-3KCi3nFbc1OSYUcSeBYS2wpUoROCta0IpspYV1XPGaC7KOgXWKkwbXtJYxJ8VZcXPQbQPuzBT7IfdmAvZm7wixMxjnPpdr0HIhUXNEXVVSo2bQSAShq0Y2FfKs9emgNS3NQK2lcY7on4k-j4z91nTh3tRMcClYFnj_JBDD3UJpNkOfLHmPI4UlmfwLot4oyURG3_2H7sISx_xUmWI146qqVKbkgbIxpBTJHYthYPajYfajYf6MRnYY4Nkg5739t5Nj1t9ByMDFAaDsJ4dHQkPFBYjfSSjChQ</recordid><startdate>20180501</startdate><enddate>20180501</enddate><creator>Sidat, Shahid</creator><creator>Staicu, Anca</creator><creator>Antoniades, Georgios</creator><creator>Michael, Philips Jurj</creator><general>Sultan Qaboos University, College of Medicine and Health Sciences</general><general>Sultan Qaboos University</general><general>Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20180501</creationdate><title>Pulmonary glue embolism : an unusual complication following endoscopic sclerotherapy for gastric varices</title><author>Sidat, Shahid ; Staicu, Anca ; Antoniades, Georgios ; Michael, Philips Jurj</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-2c6ef138e2f501a63ade48e0fc3d098ec493cf282623ecf10cf82e90fbdc11f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adhesives - adverse effects</topic><topic>Aged</topic><topic>Antibiotics</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Cyanoacrylates - adverse effects</topic><topic>Embolisms</topic><topic>Endoscopy</topic><topic>Esophageal and Gastric Varices - therapy</topic><topic>Gastrointestinal Hemorrhage - therapy</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Liver cirrhosis</topic><topic>Lungs</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Patients</topic><topic>Pneumonia</topic><topic>Pulmonary arteries</topic><topic>Pulmonary Embolism - diagnostic imaging</topic><topic>Pulmonary Embolism - etiology</topic><topic>Pulmonary embolisms</topic><topic>Respiratory distress syndrome</topic><topic>Retrospective Studies</topic><topic>Sclerotherapy - adverse effects</topic><topic>Sclerotherapy - methods</topic><topic>Tomography</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sidat, Shahid</creatorcontrib><creatorcontrib>Staicu, Anca</creatorcontrib><creatorcontrib>Antoniades, Georgios</creatorcontrib><creatorcontrib>Michael, Philips Jurj</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Sultan Qaboos University medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sidat, Shahid</au><au>Staicu, Anca</au><au>Antoniades, Georgios</au><au>Michael, Philips Jurj</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pulmonary glue embolism : an unusual complication following endoscopic sclerotherapy for gastric varices</atitle><jtitle>Sultan Qaboos University medical journal</jtitle><addtitle>Sultan Qaboos Univ Med J</addtitle><date>2018-05-01</date><risdate>2018</risdate><volume>18</volume><issue>2</issue><spage>231</spage><epage>235</epage><pages>231-235</pages><issn>2075-051X</issn><eissn>2075-0528</eissn><abstract>A pulmonary glue embolism is an unusual but potentially life-threatening complication following the
treatment of variceal bleeding, especially in patients with large varices requiring large volumes of sclerosant. Other
contributory factors include the rate of injection and ratio of the constituent components of the sclerosant (i.e. n-butylcyanoacrylate and lipiodol). This condition may be associated with a delayed onset of respiratory compromise. Therefore,
a high degree of clinical suspicion is essential in patients with unexplained cardiorespiratory decline during or following
endoscopic sclerotherapy. We report a 65-year-old man who was admitted to the Hull Royal Infirmary, Hull, UK, in
2017 with haematemesis and melaena. He subsequently developed acute respiratory distress syndrome secondary to a
glue embolism following emergency sclerotherapy for bleeding gastric varices. The aetiology of the embolism was likely
a combination of the large size of the gastric varices and the large volume of cyanoacrylate needed. After an endoscopy,
the patient underwent transjugular intrahepatic portosystemic shunting twice to control the bleeding, after which he
recovered satisfactorily.</abstract><cop>Muscat, Oman</cop><pub>Sultan Qaboos University, College of Medicine and Health Sciences</pub><pmid>30210858</pmid><doi>10.18295/squmj.2018.18.02.020</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Sultan Qaboos University medical journal, 2018-05, Vol.18 (2), p.231-235 |
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| language | eng |
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| source | PubMed (Medline); Publicly Available Content Database |
| subjects | Adhesives - adverse effects Aged Antibiotics Case Report Case reports Cyanoacrylates - adverse effects Embolisms Endoscopy Esophageal and Gastric Varices - therapy Gastrointestinal Hemorrhage - therapy Humans Hypertension Liver cirrhosis Lungs Male Medical imaging Patients Pneumonia Pulmonary arteries Pulmonary Embolism - diagnostic imaging Pulmonary Embolism - etiology Pulmonary embolisms Respiratory distress syndrome Retrospective Studies Sclerotherapy - adverse effects Sclerotherapy - methods Tomography Veins & arteries |
| title | Pulmonary glue embolism : an unusual complication following endoscopic sclerotherapy for gastric varices |
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