Document Detail

Successful management of duodenal varices by balloon-occluded retrograde transvenous obliteration.
MedLine Citation:
PMID:  18360078     Owner:  NLM     Status:  MEDLINE    
We describe a case of duodenal varices successfully treated with balloon-occluded retrograde transvenous obliteration (BRTO) alone. A 63-year-old man presented with tarry stools. Computed tomography demonstrated dilated varices around the duodenum. Emergency endoscopic examination revealed varices of the second portion of the duodenum without active bleeding. There was no evidence of bleeding in the esophagus or stomach. Colonoscopy revealed no bleeding sites in the colon. On the day after admission, a superior mesenteric arteriogram obtained in the venous phase demonstrated a collateral vein from the inferior pancreaticoduodenal vein to the inferior vena cava. Retrograde venography performed via the right femoral vein confirmed that the right inferior adrenal vein was the draining vein and that the collateral vein was occluded. There were no tarry stools after BRTO. The patient was discharged 7 days after BRTO. Two months after discharge, computed tomography showed no dilated varices around the duodenum. Three months after discharge, endoscopy confirmed the absence of varices. No bleeding has been detected as of 10 months after discharge. We conclude that BRTO is an effective treatment for duodenal varices.
Masahiro Hotta; Hiroshi Yoshida; Yasuhiro Mamada; Nobuhiko Taniai; Koichi Bando; Yoshiaki Mizuguchi; Daisuke Kakinuma; Tomohiro Kanda; Ken-ichiro Watanabe; Takashi Tajiri
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of Nippon Medical School = Nippon Ika Daigaku zasshi     Volume:  75     ISSN:  1345-4676     ISO Abbreviation:  J Nippon Med Sch     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-03-24     Completed Date:  2008-04-29     Revised Date:  2012-09-25    
Medline Journal Info:
Nlm Unique ID:  100935589     Medline TA:  J Nippon Med Sch     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  36-40     Citation Subset:  IM    
Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan.
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MeSH Terms
Balloon Occlusion / methods*
Diagnostic Imaging
Duodenum / blood supply*
Hypertension, Portal / complications
Middle Aged
Varicose Veins / diagnosis,  etiology,  therapy*

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