Endoscopy 1982; 14(5): 187-189
DOI: 10.1055/s-2007-1021618
© Georg Thieme Verlag KG Stuttgart · New York

Sclerotherapy of a Bleeding Duodenal Varix

T. Sauerbruch, M. Weinzierl, H.P. Dietrich, G. Antes, J. Eisenburg, G. Paumgartner
  • Department of Internal Medicine II and Department of Radiology, Klinikum Grosshadern, University of Munich, West Germany
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Publication History

Publication Date:
17 March 2008 (online)


A case of successful treatment of a bleeding duodenal varix in a patient with portal hypertension and compensated cryptogenic cirrhosis (Child A) is reported. The 42-year-old man had a history of recurrent gastrointestinal hemorrhage over 14 years. In 1966 he underwent a portocaval shunt operation. Angiography in 1968 revealed a thrombosis of the shunt as well as of the splenic vein. Splenectomy was performed because of hypersplenism. In 1980 bleeding from esophageal varices occurred and was treated by sclerotherapy. Seven weeks after sclerotherapy massive bleeding from a duodenal varix occurred. Sclerotherapy of the duodenal varix via a flexible endoscope proved successful. Since then, during a follow-up period of 15 months, the patient has had no further bleeding episodes.