Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00043283.xml
CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2015; 6(03): 139-141
DOI: 10.4103/0976-5042.165726
DOI: 10.4103/0976-5042.165726
Case Report
Endoscopic ultrasound guided emergency coil and glue for actively bleeding duodenal varix after failed endoscopy
Further Information
Publication History
Publication Date:
01 October 2019 (online)
Abstract
Management of ectopic variceal bleed may be difficult at times due to anatomical location or presence of collaterals. We present a case of an elderly cirrhotic male with acute upper gastrointestinal bleed due to a large duodenal varix successfully managed by endoscopic ultrasound guided coil placement along with glue (N-butyl-2-cyanoacrylate) injection.
-
References
- 1 Sato T, Akaike J, Toyota J, Karino Y, Ohmura T. Clinicopathological features and treatment of ectopic varices with portal hypertension. Int J Hepatol 2011;2011:960720.
- 2 Liu Y, Yang J, Wang J, Chai G, Sun G, Wang Z, et al. Clinical characteristics and endoscopic treatment with cyanoacrylate injection in patients with duodenal varices. Scand J Gastroenterol 2009;44:1012-6.
- 3 Mora-Soler A, Velasco-Guardado A, Acosta-Materán R, Umaña-Mejía J, Jamanca-Poma Y, Calderón-Begazo R, et al. Endoscopic treatment of duodenal varices with cyanoacrylate. Rev Esp Enferm Dig 2013;105:629-32.
- 4 Romero-Castro R, Ellrichmann M, Ortiz-Moyano C, Subtil-Inigo JC, Junquera-Florez F, Gornals JB, et al. EUS-guided coil versus cyanoacrylate therapy for the treatment of gastric varices: A multicenter study (with videos). Gastrointest Endosc 2013;78:711-21.
- 5 Binmoeller KF, Weilert F, Shah JN, Kim J. EUS-guided transesophageal treatment of gastric fundal varices with combined coiling and cyanoacrylate glue injection (with videos). Gastrointest Endosc 2011;74:1019-25.
- 6 Kinzel J, Pichetshote N, Dredar S, Aslanian H, Nagar A. Bleeding from a duodenal varix: A unique case of variceal hemostasis achieved using EUS-guided placement of an embolization coil and cyanoacrylate. J Clin Gastroenterol 2014;48:362-4.
- 7 Weilert F, Shah JN, Marson FP, Binmoeller KF. EUS-guided coil and glue for bleeding rectal varix. Gastrointest Endosc 2012;76:915-6.
- 8 Rana SS, Bhasin DK, Sharma V, Chaudhary V, Sharma R, Singh K. Clinical, endoscopic and endoscopic ultrasound features of duodenal varices: A report of 10 cases. Endosc Ultrasound 2014;3:54-7.