Fig. 1. Endoscopic ultrasound (EUS)-guided cyanoacrylate (CYA) injection into the perforating vein. (A) Endoscopic view of a large fundic varix. (B) The varix was 4.5 cm × 3.7 cm as shown by EUS. (C) Doppler blood flow inside the varix. (D) Identification of the perforator (arrow). (E) Perforator injection using a 19-gauge fine needle aspiration needle. (F) Immediate reduction of the blood flow in the varix after injection of 1 mL CYA.
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