injection of #gastric #varices, more tips and tricks

A 67-year-old man was admitted to the endoscopy unit, underwent upper digestive endoscopy. the scope revealed gastric varix. the endoscopist injected varix with 5 ampoules of #amcrlylate. tips and tricks: 1- try to assess your injector when the endoscope is in the straight position i.e pointing to the pyloric region, before you retroflex the scope to the fundus especially when the diameter of your scope is small. 2- assess the distensibility of varix with the tip of your injector 3- try to inflate the stomach with a moderate amount of air or CO2 to flatten the gastric folds and better assess varix. 4- you can notice the inflation of varix with the glue by increasing the diameter of varix and changing its color. 5- you can palpate varix after injection, it gets hard, and so you are sure that your injection is successful.