Endoscopy 2021; 53(S 01): S142
DOI: 10.1055/s-0041-1724635
Abstracts | ESGE Days
ESGE Days 2021 Digital poster exhibition
Overt Mid-Gut Bleeding From Anastomotic Varices: Successful Management With Double-Balloon Enteroscopy Facilitated Cyanoacrylate-Injection Endotherapy (With Video)
N Lazaridis
1
The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
A Murino
1
The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
A Skamnelos
1
The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
R Chacchi Cahuin
1
The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
N Koukias
1
The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
R Raymond
1
The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
D Mandair
2
The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Neuroendocrine Tumour Unit, Centre for Gastroenterology, ENETS Centre of Excellence, London, United Kingdom
,
EJ Despott
1
The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
› Author Affiliations
A 65-year-old man with a metastatic mid-gut neuroendocrine tumour warranting extensive small-bowel resection presented with life-threatening mid-gut bleeding. A CT enterography (CTE) demonstrated jejunal anastomotic varices, with superior mesenteric vein thrombosis. Without a radiological option for treatment, anterograde double-balloon enteroscopy (DBE) was planned to facilitate cyanoacrylate-injection endotherapy (CIE).
During DBE 2 nests of bleeding varices were identified at the anastomosis. DBE CIE was successful performed without any adverse events; subsequent CTE confirmed success. The patient has not bled further during 6-months of follow-up.
DBE facilitated CIE of mid-gut varices is effective and safe in carefully selected cases.
Citation
Lazaridis N, Murino A, Skamnelos A et al. eP139V OVERT MID-GUT BLEEDING FROM ANASTOMOTIC VARICES: SUCCESSFUL MANAGEMENT WITH DOUBLE-BALLOON ENTEROSCOPY FACILITATED CYANOACRYLATE-INJECTION ENDOTHERAPY (WITH VIDEO). Endoscopy 2021; 53: S142.
Publication History
Article published online:
19 March 2021
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