A Successful Endoscopic Therapy for Uncontrolled Duodenal Varix after Transjugular Intrahepatic Portosystemic Shunt.
- Author:
Young Woo KEE
1
;
Sun Il JEONG
;
Min Ho PARK
;
Yong Ju SHIN
;
Dong Hyun OH
;
Sang Wook PARK
;
Ju Chae PARK
;
Hee Kyoung SON
;
Jeong Hwan PARK
;
Kang Seok SEO
Author Information
1. Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea. isks@netian.net
- Publication Type:Case Report
- Keywords:
Duodenal varix;
Endoscopic sclerotherapy;
Transjugular portosystemic intrahepatic shunt;
Endoscopic ligation
- MeSH:
Hemorrhage;
Hemostasis;
Humans;
Hypertension, Portal;
Ligation;
Portasystemic Shunt, Surgical*;
Sclerotherapy;
Varicose Veins*
- From:Korean Journal of Gastrointestinal Endoscopy
2002;24(5):294-298
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Duodenal varix is a rare site of bleeding in patient with portal hypertension and frequently causes massive bleeding. Treatment modalities are endoscopic sclerotherapy, endoscopic ligation, transjugular intrahepatic portosystemic shunt (TIPS), and shunt operation. A patient with duodenal varix was hemodynamically unstable and an emergent salvage transjugular intrahepatic portosystemic shunt was performed. In spite of TIPS procedure, varix bleeding was not controlled and endoscopic band ligation and endoscopic sclerotherapy were performed with successful hemostasis and eradication of duodenal varix.
