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Outcomes of endoscopic treatment for acute duodenal ectopic variceal bleeding: a single-center retrospective case series

Journal Volume 87 - 2024
Issue Fasc.2 - Case series
Author(s) T. Tang 1, L. Yang 1, D. Yang 1, X. Li 1, W. Zhang 2, H. Xu 1, Geng Chen 1
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PAGES 322-325
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DOI10.51821/87.2.12100
Affiliations:
(1) Department of Gastroenterology, The First Hospital of Jilin University, Changchun, China
(2) Department of Interventional Therapy, The First Hospital of Jilin University, Changchun, China

Duodenal ectopic variceal hemorrhage is a rare portal hypertension complication that can easily be clinically missed. Once hemorrhage occurs, the rebleeding and fatality rates are high. There is no unified standard for its treatment, we reported the endoscopic treatment of eight patients admitted to our department between January 2014 and May 2021, Endoscopic band ligation and endoscopic cyanoacrylate injection were performed in five and three cases, respectively. The hemostasis success rate was 100%, no postoperative bleeding occurred, and there were no serious complications. Duodenal varices disappeared in four cases after 2-12 months. In conclusion, Endoscopic therapy is an ideal treatment method for acute duodenal ectopic variceal hemorrhage.

Keywords: duodenal varices, ectopic variceal hemorrhage, endoscopic therapy, liver cirrhosis.

© Acta Gastro-Enterologica Belgica.
PMID 39210764