首页|Duodenal variceal bleeding after balloon-occluded retrograde transverse obliteration: Treatment with transjugular intrahepatic portosystemic shunt

Duodenal variceal bleeding after balloon-occluded retrograde transverse obliteration: Treatment with transjugular intrahepatic portosystemic shunt

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We report a case of duodenal varix bleeding as a long term complication of balloon occluded retrograde transvenous obliteration (BRTO),which was successfully treated with a transjugular intrahepatic portosystemic shunt (TIPS).A 57-year-old man was admitted to the emergency room suffering from melena.He had undergone BRTO to treat gastric varix bleeding 5 mo before admission.Endoscopy and a computed tomography (cr) scan showed complete obliteration of the gastric varix,but the nodular varices in the second portion of the duodenum expanded after BRTO,and spurting blood was seen.TIPS was performed for treatment of duodenal variceal bleeding,because attempts at endoscopic varix ligation were unsuccessful.The postoperative course was uneventful and the patient was discharged without complications.A follow up CT scan obtained 21 mo after TIPS revealed a patent TIPS tract and complete obliteration of duodenal varices,but multinodular hepatocellular carcinoma had developed.He died of hepatic failure 28 mo after TIPS.

Duodenal variceal bleedingBalloon occluded retrograde transvenous obliterationTransjugular intrahepatic portosystemic shunt

Min Joung Kim、Byoung Kuk Jang、Woo Jin Chung、Jae Seok Hwang、Young Hwan Kim

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Department of Gastroenterology, Keimyung University School of Medicine, Dongsan Medical Center, 194 Dongsandong, Jung-gu, Dacgu 700-712, South Korea

Department of Diagnostic Radiology, Keimyung University School of Medicine, Dongsan Medical Center,194 Dongsan-dong, Jung-gu, Daegu 700-712, South Korea

2012

10.3748/wjg.v18.i22.2877

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子：1.001
ISSN：1007-9327
年,卷(期)：2012.(22)
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