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Endoscopy 2012; 44(08): 776-779
DOI: 10.1055/s-0032-1309834
Case report/series
© Georg Thieme Verlag KG Stuttgart · New York

Successful treatment of anastomotic jejunal varices with N-butyl-2-cyanoacrylate (Histoacryl): single-center experience

C. Gubler
1   Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital of Zurich, Switzerland
,
M. Glenck
2   Interventional Radiology, Department of Radiology, University hospital of Zurich, Switzerland
,
T. Pfammatter
2   Interventional Radiology, Department of Radiology, University hospital of Zurich, Switzerland
,
P. Bauerfeind
1   Division of Gastroenterology and Hepatology, Department of Internal Medicine, University Hospital of Zurich, Switzerland
› Author Affiliations
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Publication History

submitted 19 December 2011

accepted after revision 29 March 2012

Publication Date:
25 July 2012 (online)

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Obscure gastrointestinal bleeding can lead to extensive diagnostic work-up, as well as repeated episodes of hospitalizations with significant morbidity. Patients with a previous small-bowel anastomosis seem to be prone to varices at this site, even in the absence of portal hypertension. We report here five cases with varices of this type. All the anastomoses in these patients were reached using overtube-assisted single- or double-balloon enteroscopy. The bleeding varices were treated by injecting N-butyl-2-cyanoacrylate (Histoacryl). Bleeding was stopped in all five patients without any adverse events, requiring one session in four patients and a second session in one patient.

 

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