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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2013; 04(04): 128-130
DOI: 10.4103/0976-5042.132428
Case Report
Society of Gastrointestinal Endoscopy of India

Treatment and follow-up of a case of bleeding duodenal varix

Viveksandeep Thoguluva Chandrasekar
Department of Gastroenterology, MedIndia Institute of Medical Specialities, Chennai, Tamil Nadu, India
,
Gokul Bollu Janakan
Department of Gastroenterology, MedIndia Institute of Medical Specialities, Chennai, Tamil Nadu, India
,
Rajesh Venkatachalam
Department of Gastroenterology, MedIndia Institute of Medical Specialities, Chennai, Tamil Nadu, India
,
Chandrasekar Thoguluva Seshadri
Department of Gastroenterology, MedIndia Institute of Medical Specialities, Chennai, Tamil Nadu, India
› Author Affiliations
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Publication History

Publication Date:
26 September 2019 (online)

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Abstract

Duodenal varices (DV) are rare in patients with portal hypertension secondary to liver disease. Their tendency to bleed is less common than in gastroesophageal varices, but can sometimes produce a life-threatening bleed. They are often difficult to diagnose and treat. We present a case of a 35-year-old man with parenchymal liver disease admitted with complaints of hematemesis and melena. Upper gastrointestinal endoscopy was performed and a duodenal varix, with stigmata of a recent bleed, was noted in the second part of the duodenum. Five milliliters of N-butyl-2-cyanoacrylate glue was injected into the varix leading to obliteration. A follow-up study with an endoscopic ultrasound and repeat endoscopy showed near total obturation of the varix and success of the therapy. This report concludes that glue injection can effectively be used as a first-line treatment for bleeding duodenal varices.

Key words

Duodenal varices - endoultrasound - endoscopic ultrasound - gastrointestinal bleed - glue injection - portal hypertension
 

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