Document Detail


Hemorrhagic duodenal varices treated successfully with endoscopic injection sclerotherapy using cyanoacrylate and ethanolamine-oleate: a case report.
MedLine Citation:
PMID:  20027076     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of a 50-year-old man with a medical history of alcoholic cirrhosis, in addition to esophagogastric and duodenal varices (DV), who was transferred to our institution because of hemorrhagic DV. Emergent esophagogastroduodenoscopy showed hemorrhagic varices in the horizontal portion of the duodenum. Abdominal contrast-enhanced CT showed hemodynamics of DV derived from anastomosis between the superior mesenteric vein and right renal vein. Cyanoacrylate was injected into the DV. Subsequently, 5% ethanolamine-oleate was injected endoscopically as a sclerosant into the DV feeding vein. Radiographic fluoroscopic findings revealed that the injected cyanoacrylate and sclerosant remained, respectively, in the varices and its feeder. Five days later, CT showed that the injected cyanoacrylate occupied the DV, and thrombus formation of the afferent vein led to bifurcation of superior mesenteric vein. This case showed the usefulness of endoscopic injection sclerotherapy using cyanoacrylate and sclerosant for the management of DV.
Authors:
Rei Suzuki; Atsushi Irisawa; Takuto Hikichi; Goro Shibukawa; Tadayuki Takagi; Takeru Wakatsuki; Hidemichi Imamura; Yuta Takahashi; Ai Sato; Masaki Sato; Tsunehiko Ikeda; Kazuhiro Tasaki; Katsutoshi Obara; Hiromasa Ohira
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical laparoscopy, endoscopy & percutaneous techniques     Volume:  19     ISSN:  1534-4908     ISO Abbreviation:  Surg Laparosc Endosc Percutan Tech     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-22     Completed Date:  2011-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888751     Medline TA:  Surg Laparosc Endosc Percutan Tech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e233-6     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology and Rheumatology, Division of Medicine, Fukushima Medical University School of Medicine, Fukushima, Japan.
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MeSH Terms
Descriptor/Qualifier:
Cyanoacrylates / therapeutic use
Duodenum / blood supply*
Endoscopy, Digestive System
Gastrointestinal Hemorrhage / etiology,  therapy*
Hemodynamics
Humans
Male
Middle Aged
Oleic Acids / therapeutic use
Sclerosing Solutions / therapeutic use*
Sclerotherapy / methods*
Varicose Veins / complications,  therapy*
Chemical
Reg. No./Substance:
0/Cyanoacrylates; 0/Oleic Acids; 0/Sclerosing Solutions; 3282-75-5/ethanolamine oleate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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