Year 2013 / Volume 105 / Number 10
Notas
Endoscopic treatment of duodenal varices with cyanoacrylate

629-633

Ana Mora-Soler, Antonio Velasco-Guardado, Rosa Acosta-Materán, Josué Umaña-Mejía, Yuliana Jamanca-Poma, Renzo Calderón-Begazo, Jesús Legido-Gil, Alberto álvarez-Delgado and Antonio Rodríguez-Pérez

Abstract
ABSTRACT
Background: the duodenum is the most common location for ectopic varices. Bleeding is rare, but when it appears, it is massive and difficult to control.
Material and methods: retrospective description of five clinical cases of digestive bleeding secondary to duodenal varices that we observed between the years 2011 and 2012, together with their clinical characteristics, endoscopic diagnosis, endoscopic treatment with cyanoacrylate injection and the posterior follow-up and assessment of new bleeding. Results: all five patients were treated with an endoscopic cyanoacrylate injection and two of the patients experienced a digestive rebleeding. Three of the patients died during the follow-up period, only one due to cause digestive bleeding.
Conclusion: in conclusion we can state that endoscopic treatment of duodenal varices with cyanoacrylate is technically possible, and it permits us to control the first bleeding before doing other definitive treatments, if the patient condition allows it.
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Ana Mora-Soler, Antonio Velasco-Guardado, Rosa Acosta-Materán, Josué Umaña-Mejía, Yuliana Jamanca-Poma, Renzo Calderón-Begazo, Jesús Legido-Gil, Alberto álvarez-Delgado and Antonio Rodríguez-Pérez. Endoscopic treatment of duodenal varices with cyanoacrylate. 629-633


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