Successful therapy of bleeding duodenal varices by TIPS after failure of sclerotherapy.
case_report · Level V
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- Record sourced from PubMed, PMID 9468260.
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Abstract
Hemorrhage from duodenal varices may be severe and life threatening. We report a patient with portal hypertension and bleeding duodenal varices caused by cirrhosis of the liver. Endoscopic sclerotherapy and intravenous vasopressin failed to control bleeding in this patient. Hemorrhage was subsequently controlled by placement of a transjugular intrahepatic portosystemic shunt. We recommend that in patients with life-threatening hemorrhage from duodenal varices caused by cirrhosis of the liver, transjugular intrahepatic portosystemic shunt be considered in the management.
Medical subject headings
- Duodenum
- Gastrointestinal Hemorrhage
- Portasystemic Shunt, Transjugular Intrahepatic
- Sclerotherapy
- Varicose Veins