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KMID : 0614620070490050336
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Korean Journal of Gastroenterology
2007 Volume.49 No. 5 p.336 ~ p.340
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A Case of Successful Endoscopic Injection Sclerotherapy with N-butyl-2-cyanoacrylate for Ruptured Duodenal Varices
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Sohn Byong-Kwan
Sohn Joo-Hyun
Chang Myung-Hee
Park Yoon-Kyung
Kim Tae-Yeob
Jeon Yong-Chul
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Abstract
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Duodenal varix is a rare cause of hemorrhage in patients with portal hypertension, however their rupture is serious and often life threatening. Treatments for duodenal variceal bleeding include endoscopic procedures, surgery, or interventional radiologic procedures. We report a case of duodenal varices rupture in a 45-year-old man with alcoholic liver cirrhosis who presented with melena and dizziness. Emergent upper endoscopy revealed large nodular varices with a ruptured erosion on the top in the distal second portion of duodenum. Two consecutive injections with 1.0 mL of n-butyl-2-cyanoacrylate (Histoacryl; Braun-Melsungen, Germany) mixed with 1.0 mL of lipiodol (Laboratoire-Guerbet, France) were performed intravariceally and achieved successful hemostasis. This suggests that endoscopic injection sclerotherapy with histoacryl may be an effective therapeutic option for the control of ruptured duodenal variceal bleeding. (Korean J Gastroenterol 2007;49:336-340)
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KEYWORD
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Duodenal varices, Endoscopic injection sclerotherapy, EIS, Histoacryl
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