Abstract Text Duodenal variceal bleeding is associated with high morbidity and mortality rates.
Endoscopic managment options are limited. We report the case of a 52-year-old female
patient with alcoholic liver cirrhosis who was admitted with acute upper gastrointestinal
bleeding. Endoscopic assessment revealed active bleeding from duodenal varices located
in the second part of the duodenum. We injected cyanoacrylate but the bleeding continued.
We then decided to use an over-the-scope clip,which caused immediate bleeding cessation.
Upper endoscopy on the second day revealed complete hemostasis. Transjugular intrahepatic
portosystemic shunt placement was performed on the third day. After 1 week, the patient
was discharged in a satisfactory general condition. A follow-up endoscopy 3 months
later revealed complete regression of the varices, and the patient was referred to
a liver center for liver transplantation evaluation [1].
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