Successful treatment of anastomotic jejunal varices with N-butyl-2-cyanoacrylate (Histoacryl): single-center experience

C. Gubler; M. Glenck; T. Pfammatter; P. Bauerfeind

doi:10.1055/s-0032-1309834

Endoscopy, Table of Contents

Endoscopy 2012; 44(08): 776-779
DOI: 10.1055/s-0032-1309834

Case report/series

Successful treatment of anastomotic jejunal varices with N-butyl-2-cyanoacrylate (Histoacryl): single-center experience

Authors

C. Gubler

¹Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital of Zurich, Switzerland
M. Glenck

²Interventional Radiology, Department of Radiology, University hospital of Zurich, Switzerland
T. Pfammatter

²Interventional Radiology, Department of Radiology, University hospital of Zurich, Switzerland
P. Bauerfeind

¹Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital of Zurich, Switzerland

Abstract

Obscure gastrointestinal bleeding can lead to extensive diagnostic work-up, as well as repeated episodes of hospitalizations with significant morbidity. Patients with a previous small-bowel anastomosis seem to be prone to varices at this site, even in the absence of portal hypertension. We report here five cases with varices of this type. All the anastomoses in these patients were reached using overtube-assisted single- or double-balloon enteroscopy. The bleeding varices were treated by injecting N-butyl-2-cyanoacrylate (Histoacryl). Bleeding was stopped in all five patients without any adverse events, requiring one session in four patients and a second session in one patient.

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References

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