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

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Author(s)
Min Joung KimByoung Kuk JangWoo Jin ChungJae Seok HwangYoung Hwan Kim
Keimyung Author(s)
Jang, Byoung KukChung, Woo JinHwang, Jae SeokKim, Young Hwan
Department
Dept. of Internal Medicine (내과학)
Dept. of Radiology (영상의학)
Journal Title
World Journal of Gastroenterology
Issued Date
2012
Volume
18
Issue
22
Abstract
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
(CT) 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.
Keimyung Author(s)(Kor)
장병국
정우진
황재석
김영환
Publisher
School of Medicine
Citation
Min Joung Kim et al. (2012). Duodenal variceal bleeding after balloon-occluded retrograde transverse obliteration: Treatment with transjugular intrahepatic portosystemic shunt. World Journal of Gastroenterology, 18(22), 2877–2880. doi: 10.3748/wjg.v18.i22.2877
Type
Article
ISSN
1007-9327
DOI
10.3748/wjg.v18.i22.2877
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37227
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
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