Successful Treatment of Bleeding Duodenal Varix by Percutaneous Transsplenic Embolization.
10.4166/kjg.2015.66.5.286
- Author:
Dong Hun KANG
1
;
Ji Won PARK
;
Eui Yong JEON
;
Sung Eun KIM
;
Jong Hyeok KIM
;
Young Seok KWON
;
Seung Ah PARK
;
Choong Kee PARK
Author Information
1. Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea. miunorijw@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Duodenum;
Varicose vein;
Embolization
- MeSH:
Aged;
Duodenum;
Embolization, Therapeutic;
Endoscopy, Gastrointestinal;
Esophageal and Gastric Varices/complications/*diagnosis;
Gastrointestinal Hemorrhage/*therapy;
Humans;
Liver Cirrhosis/complications/*diagnosis;
Male;
Portal Vein/diagnostic imaging;
*Portasystemic Shunt, Transjugular Intrahepatic;
Recurrence;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2015;66(5):286-290
- CountryRepublic of Korea
- Language:English
-
Abstract:
Variceal bleeding occurs primarily in the esophagus or stomach in patients with liver cirrhosis, but can also occur rarely in the duodenum. Duodenal variceal bleeding has a high mortality and poor prognosis due to heavy blood flow originating from the portal vein (PV) and the technical difficulty of hemostatic procedures. Treatments including endoscopic sclerotherapy, endoscopic ligations, endoscopic clipping and transjugular intrahepatic portosystemic shunt have been tried, with only moderate and variable success. A percutaneous transsplenic approach offers another way of accessing the PV. Here we report a case of successfully treated duodenal variceal bleeding by percutaneous transsplenic embolization.
