| Peripapillary Duodenal Varices as a Rare Cause of Severe Bleeding in a Patient with No Other Signs of Portal Hypertension - Successful Endoscopic Treatment with Cyanoacrylate Injection. | |
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MedLine Citation:
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PMID: 21557169 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Duodenal varices (DVs) are a rare cause of upper gastrointestinal bleeding and rather suspected in patients with portal hypertension. Bleeding DVs are difficult to manage and often fatal due to delayed diagnosis. We report on a 71-year-old patient with massive upper gastrointestinal haemorrhage, who did not show any clinical signs of portal hypertension; however, he had a history of duodenal segmental resection 8 years before. The source of bleeding could not be detected with different imaging methods such as angiography and computed tomography. Upper gastrointestinal endoscopy finally revealed DVs, which were located just adjacent to the papilla. After endoscopic injection therapy with n-butyl 2-cyanoacrylate the bleeding stopped immediately and the patient soon stabilised. Despite the peripapillar localisation no signs of pancreatitis or cholestasis occurred; during 10-month follow-up a marked regression of the varices without further signs of variceal bleeding was observed. |
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Authors:
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T J Weismüller; N Schweitzer; B Boozari; A Negm; D Bürger; M P Manns; J Wedemeyer; S Kubicka |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-5-9 |
Journal Detail:
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Title: Zeitschrift fur Gastroenterologie Volume: 49 ISSN: 1439-7803 ISO Abbreviation: - Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-5-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0033370 Medline TA: Z Gastroenterol Country: - |
Other Details:
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Languages: ENG Pagination: 591-595 Citation Subset: - |
Copyright Information:
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© Georg Thieme Verlag KG Stuttgart · New York. |
Affiliation:
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Department of Gastroenterology, Hepatology and Endocrinology, Medical School Hannover. |
Vernacular Title:
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Peripapillär gelegene Duodenalvarizen ohne weitere Zeichen der portalen Hypertension als seltene Ursache einer lebensbedrohlichen Blutung - erfolgreiche endoskopische Obliteration mit Cyanoacrylat. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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