Korean J Gastrointest Endosc > Volume 28(3); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(3): 127-130.
담즙성 간경변 환자에서 내시경 경화요법으로 지혈한 분출성 십이지장 정맥류 출혈 1예
원찬식ㆍ백순구·김상하·김정권·주헌수·이미영·김현수·이동기·권상옥
연세대학교 원주의과대학 내과학교실
A Case of Spurting Duodenal Variceal Bleeding Treated with an Endoscopic Sclerotherapy in a Patient with Biliary Cirrhosis
Chan Sik Weon, M.D., Soon Goo Baik, M.D., Sang Ha Kim, M.D., Jung Koun Kim, M.D., Houn Soo Joo, M.D., Mi Young Lee, M.D., Hyun Soo Kim, M.D., Dong Ki Lee, M.D. and Sang Ok Koun, M.D.
Department of Internal Medicine, Yonsei University Wonju College of Medicine, Korea
Abstract
Duodenal varices can result from portal hypertension regardless of the etiologies of liver cirrhosis. Bleeding from duodenal varices is rare but often severe and life threatening. Treatment modalities of duodenal varices include endoscopic sclerotherapy, transjugular intrahepatic portosystemic shunt, and surgery. As an initial treatment, endoscopic sclerotherapy is recommended due to easy accessibility but has limited success in controlling active duodenal variceal bleeding. In this case, we report a spurting duodenal varix treated with Histoacryl injection in a 48-year-old woman with secondary biliary cirrhosis. Endoscopic sclerotherapy with Histoacryl is a useful therapeutic measure in the treatment of bleeding duodenal varix. (Korean J Gastrointest Endosc 2004;28:127⁣130)
Key Words: Duodenal varix, Endoscopic sclerotherapy, Biliary cirrhosis
주요어: 십이지장 정맥류, 내시경 경화요법, 담즙성 간경변
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