Endoscopic Sclerotherapy with a Large Volume of High Concentration of Cyanoacrylate for Jejunal Variceal Bleeding bys Single-Balloon Enteroscopy

Medicina (Kaunas). 2018 Oct 9;54(5):68. doi: 10.3390/medicina54050068.

Abstract

Jejunal varices are a rare manifestation of portal hypertension, and they are associated with a high mortality and poor prognosis when bleeding occurs. A bleeding jejunal varix is much more challenging to diagnose and manage because of its anatomic location. Herein, we describe the case of a 62-year-old man with active jejunal variceal bleeding who presented with massive hematochezia and hypovolemic shock. He was treated successfully with a high volume and concentration of a glue mixture as endoscopic sclerotherapy using single-balloon enteroscopy in the intensive care unit. Enteroscopic sclerotherapy is an effective option for jejunal variceal bleeding.

Keywords: jejunal varices; sclerotherapy; single-balloon enteroscopy.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Hepatocellular / etiology
  • Carcinoma, Hepatocellular / pathology
  • Cyanoacrylates / therapeutic use*
  • Endoscopy
  • Esophageal and Gastric Varices / diagnosis
  • Esophageal and Gastric Varices / therapy*
  • Fatal Outcome
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / therapy*
  • Humans
  • Hypertension, Portal / complications
  • Jejunum / blood supply*
  • Liver Cirrhosis / complications
  • Liver Cirrhosis / pathology
  • Liver Neoplasms / etiology
  • Liver Neoplasms / pathology
  • Male
  • Middle Aged
  • Sclerotherapy*
  • Single-Balloon Enteroscopy
  • Varicose Veins / diagnosis
  • Varicose Veins / therapy*

Substances

  • Cyanoacrylates