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KMID : 0614620150660050286
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Korean Journal of Gastroenterology
2015 Volume.66 No. 5 p.286 ~ p.290
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Successful Treatment of Bleeding Duodenal Varix by Percutaneous Transsplenic Embolization
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강동훈:Kang Dong-Hun
박지원:Park Ji-Won/전의용:Jeon Eui-Yong/김성은:Kim Sung-Eun/김종혁:Kim Jong-Hyeok/권영석:Kwon Young-Seok/박승아:Park Seung-Ah/박충기:Park Choong-Kee
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Abstract
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Variceal bleeding occurs primarily in the esophagus or stomach in patients with liver cirrhosis, but can also occur rarely in the duodenum. Duodenal variceal bleeding has a high mortality and poor prognosis due to heavy blood flow originating from the portal vein (PV) and the technical difficulty of hemostatic procedures. Treatments including endoscopic sclerotherapy, endoscopic ligations, endoscopic clipping and transjugular intrahepatic portosystemic shunt have been tried, with only moderate and variable success. A percutaneous transsplenic approach offers another way of accessing the PV. Here we report a case of successfully treated duodenal variceal bleeding by percutaneous transsplenic embolization.
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KEYWORD
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Duodenum, Varicose vein, Embolization
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