A Case of Spurting Duodenal Variceal Bleeding Treated with an Endoscopic Sclerotherapy in a Patient with Biliary Cirrhosis.
- Author:
Chan Sik WEON
1
;
Soon Goo BAIK
;
Sang Ha KIM
;
Jung Koun KIM
;
Houn Soo JOO
;
Mi Young LEE
;
Hyun Soo KIM
;
Dong Ki LEE
;
Sang Ok KOUN
Author Information
1. Department of Internal Medicine, Yonsei University Wonju College of Medicine, Korea. skbaik@wonju.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Duodenal varix;
Endoscopic sclerotherapy;
Biliary cirrhosis
- MeSH:
Esophageal and Gastric Varices*;
Female;
Hemorrhage;
Humans;
Hypertension, Portal;
Liver Cirrhosis;
Liver Cirrhosis, Biliary*;
Middle Aged;
Portasystemic Shunt, Surgical;
Sclerotherapy*;
Varicose Veins
- From:Korean Journal of Gastrointestinal Endoscopy
2004;28(3):127-130
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Duodenal varices can result from portal hypertension regardless of the etiologies of liver cirrhosis. Bleeding from duodenal varices is rare but often severe and life threatening. Treatment modalities of duodenal varices include endoscopic sclerotherapy, transjugular intrahepatic portosystemic shunt, and surgery. As an initial treatment, endoscopic sclerotherapy is recommended due to easy accessibility but has limited success in controlling active duodenal variceal bleeding. In this case, we report a spurting duodenal varix treated with Histoacryl(R) injection in a 48-year-old woman with secondary biliary cirrhosis. Endoscopic sclerotherapy with Histoacryl(R) is a useful therapeutic measure in the treatment of bleeding duodenal varix.
