Concomitant life threatening lesions in a cirrhotic patient: the value of endoscopic treatment.

In about 20 to 30% of the patients there is more than one lesion responsible for a gastrointestinal haemorrhage. Bleeding from rectal varices is present in 1-8% of cirrhotic patients. The histoacryl is a synthetic tissue adhesive that has been applied with success in the treatment of some particularly digestive haemorrhagic cases (gastric, duodenal or rectal varices). There have also been referred complications with histoacryl use, some of which, very serious and responsible for the patient’s death (distance material embolization, abscess, strokes, haemorrhage by the injection histoacryl scar).