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Bleeding Duodenal: Varices Treatment by TIPS and Transcatheter Embolization

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Abstract

We describe our clinical experience in 4 patients with portal hypertension who presented with bleeding mesenteric varices originating from the superior mesenteric vein with retrograde filling of collaterals draining into the inferior vena cava. The clinical presentation, imaging findings, and potential therapeutic management are discussed.

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References

  1. Illuminati G, Small A, Azoulay D, et al. (2000) Association of transjugular intraheptic portosystemic shunt with embolization in the treatment of bleeding duodenal varix refractory to sclerotherapy. Dig Surg 17:398–400

    Article  PubMed  CAS  Google Scholar 

  2. Menu Y, Gayet B, Nahum H (1987) Bleeding duodenal varices: Diagnosis and treatment by percutaneous portography and transcatheter embolization. Gastrointest Radiol 12:111–113

    Article  PubMed  CAS  Google Scholar 

  3. Norton ID, Andrews JC, Kamath PC (1998) Management of ectopic varices. Hepatology 28:1154–1158

    Article  PubMed  CAS  Google Scholar 

  4. Hashizume M, Tanoue K, Ohta M, et al. (1993) Vascular anatomy of duodenal varices: Angiographic and histopathological assessments. Am J Gastroenterol 88:1942–1945

    PubMed  CAS  Google Scholar 

  5. Haskal ZJ, Scott M, Rubin RA, Cope C (1994) Intestinal varices: Treatment with transjugular intrahepatic portosystemic shunt. Radiology 191:183–187

    PubMed  CAS  Google Scholar 

  6. Ibukuro K, Tsukiyama T, Mori K, Inoue Y (1998) Veins of Retzius at CT during arterial portography: Anatomy and clinical importance. Radiology 209:793–800

    PubMed  CAS  Google Scholar 

  7. Sonomura T, Horihata K, Yamahara K, et al. (2003) Ruptured duodenal varices successfully treated with balloon-occluded retrograde transvenous obliteration: Usefulness of microcatheters. AJR Am J Roentgenol 181:725–727

    PubMed  Google Scholar 

  8. Jonnalagadda SS, Quiason A, Smith O (1998) Successful therapy of bleeding duodenal varices by TIPS after failure of sclerotherapy. Am J Gastroenterol 93:272–274

    Article  PubMed  CAS  Google Scholar 

  9. Weishaupt D, Pfammatter T, Hilfiker PR, Wolfensberger U, Marincek B (2002) Detecting bleeding duodenal varices with multislice helical CT. AJR Am J Roentgenol 178:399–401

    PubMed  Google Scholar 

  10. Kaji T, Tamura J, Matsumoto M, et al. (1993) Superior mesenteric varices and splenic renal shunt with portal hypertension: A case report of liver cirrhosis with complications. J Int Med Res 21:58–65

    PubMed  CAS  Google Scholar 

  11. Toumeh KK, Girardot ID, Choo IW, Andrews JC, Cho KJ (1995) Percutaneous transhepatic embolization as treatment for bleeding ileostomy varices. Cardiovasc Intervent Radiol 18:179–182

    Article  PubMed  CAS  Google Scholar 

  12. Ozaki CK, Hansen M, Kadir S (1989) Transhepatic embolization of superior mesenteric varices in portal hypertension. Surgery 105:446–448

    PubMed  CAS  Google Scholar 

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Author notes

  1. Jorge E. Lopera

    Present address: Department of Radiology, UT Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, 78229, Texas

Authors and Affiliations

  1. Department of Radiology, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, New Orleans, Louisiana, 70112, USA

    Jorge E. Lopera, Blain Arthurs, Christian Scheuerman & Wildriodo Castaneda-Zuniga

  2. Department of Radiology, East Jefferson Medical Center, New Orleans, Louisiana, USA

    Charles Sandoz & Scott Petersosn

Authors
  1. Jorge E. Lopera
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  2. Blain Arthurs
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  3. Christian Scheuerman
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  4. Charles Sandoz
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  5. Scott Petersosn
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  6. Wildriodo Castaneda-Zuniga
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Corresponding author

Correspondence to Jorge E. Lopera.

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Lopera, J.E., Arthurs, B., Scheuerman, C. et al. Bleeding Duodenal: Varices Treatment by TIPS and Transcatheter Embolization. Cardiovasc Intervent Radiol 31, 431–434 (2008). https://doi.org/10.1007/s00270-004-0161-y

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  • DOI: https://doi.org/10.1007/s00270-004-0161-y

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