Clinical analysis of endoscopic diagnosis and treatment for 5 cases of duodenal variceal bleeding
10.3760/cma.j.cn321463-20250302-00090
- VernacularTitle:内镜诊治十二指肠静脉曲张破裂出血5例的临床分析
- Author:
Yongqiu WEI
1
;
Wenhai WANG
1
;
Fandong MENG
1
;
Ming JI
1
;
Yongjun WANG
1
;
Peng LI
1
;
Shutian ZHANG
1
Author Information
1. 首都医科大学附属北京友谊医院消化内科 国家消化系统疾病临床医学研究中心 首都医科大学消化病学系 消化疾病癌前病变北京市重点实验室，北京 100050
- Publication Type:Journal Article
- Keywords:
Varicose veins;
Duodenum;
Ectopic varices;
Portal hypertension;
Liver cirrhosis;
Endoscopic treatment
- From:
Chinese Journal of Digestive Endoscopy
2025;42(11):898-901
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the clinical outcomes of endoscopic diagnosis and treatment in patients with duodenal variceal bleeding, a retrospective analysis was conducted on clinical data of patients with ectopic duodenal variceal bleeding diagnosed and treated endoscopically at the Digestive Endoscopy Center of Beijing Friendship Hospital, Capital Medical University, from August 2011 to December 2024. Five male patients (mean age 50.4 years) were included. Etiologies included alcohol-related cirrhosis (1 case), hepatitis B virus-related cirrhosis (2 cases), autoimmune disease-associated portal hypertension (1 case), and thrombophilia-related portal hypertension (1 case). Immediate hemostasis was achieved endoscopically in all cases. Two patients (1 alcohol-related and 1 hepatitis B virus-related cirrhosis) exhibited persistent decline in hemoglobin levels post-procedure and received sequential interventional therapy before discharge. The remaining 3 patients recovered uneventfully. Duodenal variceal bleeding, though rare and life-threatening, can be effectively managed through multidisciplinary collaboration. Endoscopic hemostasis should be prioritized when technically feasible.
