내시경 경화요법으로 치료한 십이지장 정맥류 출혈 1예A case of successful endoscopic injection sclerotherapy with N-butyl-2-cyanoacrylate for ruptured duodenal varices
- Other Titles
- A case of successful endoscopic injection sclerotherapy with N-butyl-2-cyanoacrylate for ruptured duodenal varices
- Authors
- 손병관; 손주현; 장명희; 박윤경; 김태엽; 전용철
- Issue Date
- May-2007
- Publisher
- 대한소화기학회
- Keywords
- Duodenal varices; Endoscopic injection sclerotherapy (EIS); Histoacryl; Duodenal varices; Endoscopic injection sclerotherapy (EIS); Histoacryl
- Citation
- The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, v.49, no.5, pp.336 - 340
- Indexed
- SCOPUS
KCI
- Journal Title
- The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
- Volume
- 49
- Number
- 5
- Start Page
- 336
- End Page
- 340
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/180140
- ISSN
- 1598-9992
- Abstract
- Duodenal varix is a rare cause of hemorrhage in patients with portal hypertension, however their rupture is serious and often life threatening. Treatments for duodenal variceal bleeding include endoscopic procedures, surgery, or interventional radiologic procedures. We report a case of duodenal varices rupture in a 45-year-old man with alcoholic liver cirrhosis who presented with melena and dizziness. Emergent upper endoscopy revealed large nodular varices with a ruptured erosion on the top in the distal second portion of duodenum. Two consecutive injections with 1.0 mL of n-butyl-2-cyanoacrylate (Histoacryl; Braun-Melsungen, Germany) mixed with 1.0 mL of lipiodol (Laboratoire-Guerbet, France) were performed intravariceally and achieved successful hemostasis. This suggests that endoscopic injection sclerotherapy with histoacryl may be an effective therapeutic option for the control of ruptured duodenal variceal bleeding.
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