Sasaki Ryo
Affiliate Master
Yamaguchi University
Four cases of ruptured duodenal varices
山口医学 Volume 64 Issue 2
Page 145-152
published_at 2015-05-01
Title
当院で経験した十二指腸静脈瘤破裂の4症例
Four cases of ruptured duodenal varices
Abstract
Duodenal varices(DV)are the most common of ectopic varices. Although bleeding from DV is rare, it is difficult to control bleeding and sometimes fatal. We have encountered four clinical cases of ruptured DV. Case 1:A man in his 80s presented with a history of partial gastrectomy with Billroth-II reconstruction and LC due to chronic hepatitis C. We performed single-balloon endoscopy and injected 67% N-butyl-2-cyanoacrylate(NBCA)for DV on the afferent loop with red plug. Case 2:A woman in her 40s with primary biliary cirrhosis complained of tarry stool and anemia. We performed endoscopic injection sclerotherapy(EIS)with 67% NBCA for spurting bleeding point in duodenum. Case 3:A man in his 50s with liver cirrhosis(LC)due to chronic hepatitis B complained of tarry stool. We performed endoscopic variceal ligation(EVL)and balloon-occluded retrograde transvenous obliteration(B-RTO)for DV. Case 4:A man in his 60s with alcoholic LC complained of tarry stool. We performed EIS with 67% NBCA for DV. We added EVL, clipping, and argon plasma coagulation after EIS to control bleeding. To control bleeding was achieved in all cases.
Creators
Matsuda Takashi
Creators
Nakashima Takao
Source Identifiers
[PISSN] 0513-1731
[NCID] AN00243156
Creator Keywords
異所性静脈瘤
十二指腸静脈瘤
門脈圧亢進症
肝硬変症
Languages
jpn
Resource Type
journal article
Publishers
山口大学医学会
Date Issued
2015-05-01
File Version
Version of Record
Access Rights
open access