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A 56-year-old man with moderate fibrosis (F4, Ishak Fibrosis Score) secondary to non-alcohol-related fatty liver disease was transferred to our centre for the management of bleeding gastric varices. At the time of his index variceal bleed in June 2008, oesophago-gastro-duodenoscopy (OGD) demonstrated a large bleeding type 2 gastro-oesophageal fundal varix. Haemostasis was achieved with the injection of N-butyl-2-cyanoacrylate (histoacryl glue) and lipoidal and commencement of β blockers. He remained well until March 2010 when he represented with haematemesis. …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.