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KMID : 1048120230120040192
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International Journal of Gastrointestinal Intervention
2023 Volume.12 No. 4 p.192 ~ p.195
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Percutaneous transvenous obliteration for duodenal variceal bleeding using micro-balloon catheter and n-butyl cyanoacrylate: A case report
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Oh Chang-Hoon
Chu Hee-Ho
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Abstract
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Owing to heavy blood flow originating from the portal vein and the technical difficulties associated with hemostatic procedures, duodenal varix is associated with high mortality and a poor prognosis. Percutaneous transvenous obliteration (PTO) has been used effectively to treat duodenal varices by providing direct control of duodenal variceal bleeding. This report describes a patient who experienced duodenal variceal bleeding that was successfully managed by PTO using a micro-balloon catheter, which can occlude the proximal afferent vein of the duodenal varix. Moreover, this technique can offer a more effective injection of n-butyl cyanoacrylate by blocking the inflow and preventing any reflux associated with duodenal variceal bleeding.
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KEYWORD
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Duodenum, Gastrointestinal hemorrhage, Hemostasis, Therapeutics, Varicose veins
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