Korean J Gastrointest Endosc.  2002 May;24(5):294-298.

A Successful Endoscopic Therapy for Uncontrolled Duodenal Varix after Transjugular Intrahepatic Portosystemic Shunt

Affiliations
  • 1Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea. isks@netian.net

Abstract

Duodenal varix is a rare site of bleeding in patient with portal hypertension and frequently causes massive bleeding. Treatment modalities are endoscopic sclerotherapy, endoscopic ligation, transjugular intrahepatic portosystemic shunt (TIPS), and shunt operation. A patient with duodenal varix was hemodynamically unstable and an emergent salvage transjugular intrahepatic portosystemic shunt was performed. In spite of TIPS procedure, varix bleeding was not controlled and endoscopic band ligation and endoscopic sclerotherapy were performed with successful hemostasis and eradication of duodenal varix.

Keyword

Duodenal varix; Endoscopic sclerotherapy; Transjugular portosystemic intrahepatic shunt; Endoscopic ligation

MeSH Terms

Hemorrhage
Hemostasis
Humans
Hypertension, Portal
Ligation
Portasystemic Shunt, Surgical*
Sclerotherapy
Varicose Veins*
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