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Jeffrey H. Howe,Peter R. Bream Jr,Clayton W. Commander,Kyung Rae Kim 소화기인터벤션의학회 2020 Gastrointestinal Intervention Vol.9 No.3
We present a case of a 53-year-old male with alcoholic cirrhosis who presented with acute hematemesis and hematochezia. The patient was initially treated with esophagogastroduodenoscopy guided band ligation of a large duodenal varix. Our interventional radiology department planned to treat this varix with balloon-occluded antegrade transvenous obliteration via a transhepatic approach. However, his hospital course was further complicated by decreasing hemoglobin and new hematochezia necessitated emergency transjugular intrahepatic portosystemic shunt (TIPS) placement. The patient underwent transcatheter embolization of the duodenal varices one day after the TIPS procedure due to recurrent bleeding. This case highlights the various decision points in the treatment algorithm for duodenal varices in the context of portal hypertension.
Jeffrey H. Howe,Peter R. Bream Jr,Clayton W. Commander,Kyung Rae Kim 소화기인터벤션의학회 2020 International journal of gastrointestinal interven Vol.9 No.3
We present a case of a 53-year-old male with alcoholic cirrhosis who presented with acute hematemesis and hematochezia. The patient was initially treated with esophagogastroduodenoscopy guided band ligation of a large duodenal varix. Our interventional radiology department planned to treat this varix with balloon-occluded antegrade transvenous obliteration via a transhepatic approach. However, his hospital course was further complicated by decreasing hemoglobin and new hematochezia necessitated emergency transjugular intrahepatic portosystemic shunt (TIPS) placement. The patient underwent transcatheter embolization of the duodenal varices one day after the TIPS procedure due to recurrent bleeding. This case highlights the various decision points in the treatment algorithm for duodenal varices in the context of portal hypertension.