Embolisation de varices jéjunales hémorragiques récidivantes

Robert, B.; Yzet, T.; Bartoli, Éric; M’bayo, D.; Dupas, Jean‐Louis; Nguyen‐Khac, Eric

doi:10.1016/j.gcb.2009.11.001

Cited by 3 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The treatment of jejunal varices includes surgery (5, 6), transjugular intrahepatic porto-systemic shunt (TIPS) (7, 8), enteroscopic sclerotherapy (9), percutaneous embolization (8, 10-12), and dilatation of a stenosed portal vein followed by stent placement (4, 13). Treatment for segmental varices in which there is superior mesenteric vein stricture without portal hypertension involves surgical resection.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Jejunal Variceal Bleeding Successfully Treated with Percutaneous Coil Embolization

et al. 2012

View full text Add to dashboard Cite

A 52-yr-old male with alcoholic liver cirrhosis was hospitalized for hematochezia. He had undergone small-bowel resection due to trauma 15 yr previously. Esophagogastroduodenoscopy showed grade 1 esophageal varices without bleeding. No bleeding lesion was seen on colonoscopy, but capsule endoscopy showed suspicious bleeding from angiodysplasia in the small bowel. After 2 weeks of conservative treatment, the hematochezia stopped. However, 1 week later, the patient was re-admitted with hematochezia and a hemoglobin level of 5.5 g/dL. Capsule endoscopy was performed again and showed active bleeding in the mid-jejunum. Abdominal computed tomography revealed a varix in the jejunal branch of the superior mesenteric vein. A direct portogram performed via the transhepatic route showed portosystemic collaterals at the distal jejunum. The patient underwent coil embolization of the superior mesenteric vein just above the portosystemic collaterals and was subsequently discharged without re-bleeding. At 8 months after discharge, his condition has remained stable, without further bleeding episodes.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Non-surgical treatment options include porto-caval shunt (7, 8), endoscopic sclerotherapy (9), embolization (8, 10-12), and balloon dilatation and stent placement in the portal vein for extrahepatic portal venous obstruction (4, 13). …”

Section: Introductionmentioning

confidence: 99%

Jejunal Variceal Bleeding Successfully Treated with Percutaneous Coil Embolization

et al. 2012

View full text Add to dashboard Cite

show abstract

“…In children, endoscopic and surgical treatment of ectopic varices was preferred in past but now minimally invasive percutaneous and endovascular therapies are the mainstay of treatment [ 13 ]. Porto-caval shunt, endoscopic sclerotherapy, embolization, and balloon dilatation, and stent placement in the portal vein are non-surgical treatment options for the management of extrahepatic portal venous obstruction [ [16] , [17] , [18] ]. It has been reported that endoscopic treatment including sclerosing agents can be used for the treatment of actively bleeding duodenal or jejunal varices or to prevent re-bleeding from focal varices with hemorrhage [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Jejunal varices with extra hepatic portal vein obstruction: A case report

Shrestha

Kharel

et al. 2021

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Introduction and importance Extrahepatic portal vein obstruction (EHPVO) with portal hypertension is rare in children. Intestinal varices as new collaterals accompanying portal hypertension are very rare. Presentation of case We report an unusual case of a 12-year-old boy with EHPVO with gastrointestinal bleeding from ectopic jejunal varices, without any gastroesophageal varices. Discussion Portal hypertension is the most common cause of EHPVO. Among various ectopic varices, intestinal varices are found distal to the duodenum and present with complaints of hematochezia, melena, or intraperitoneal bleeding. The diagnosis of the EHPVO is aided by imaging investigations like Doppler ultrasound, computed tomography, or magnetic resonance imaging. A multidisciplinary team including gastroenterologists, interventional radiologists, surgeons, and intensivists is crucial in the management of ectopic varices. Conclusion Jejunal varices must be considered in the differential diagnosis of gastrointestinal (GI) hemorrhage in patients with a negative source of bleed on upper and lower GI endoscopy.

show abstract

Ectopic varices in portal hypertension

Etık

Öztaş²,

Ökten³

et al. 2011

European Journal of Gastroenterology & Hepatology

View full text Add to dashboard Cite

Ectopic varices (EcV) accounting for 1-5% of all varices in portal hypertension are composed of dilated portosystemic collaterals located in unusual sites instead of the most known gastroesophageal region. The difficulty in localization of bleeding is a great burden on the management of these patients. Herein, we present patients with EcV as well as with portal hypertension and recurrent intestinal bleeding. The sites of EcV were identified with computed tomographic angiography, after a series of inconclusive endoscopies, and moreover a selective celiac arteriographic examination of one of the patients.

show abstract

Embolisation de varices jéjunales hémorragiques récidivantes

Cited by 3 publications

References 12 publications

Jejunal Variceal Bleeding Successfully Treated with Percutaneous Coil Embolization

Jejunal Variceal Bleeding Successfully Treated with Percutaneous Coil Embolization

Jejunal varices with extra hepatic portal vein obstruction: A case report

Ectopic varices in portal hypertension

Contact Info

Product

Resources

About