Endoscopic ultrasound-guided vascular intervention for pancreaticojejunal variceal bleeding

Ectopic variceal bleeding is rare, only accounting for up to 5% of all variceal bleeding [1]; however, a previous study reported a higher risk of bleeding and mortality for ectopic varices than for esophageal varices [2]. Endoscopic treatment can be difficult because of difficulty in identifying the location of the bleeding [3]. Endoscopic ultrasound (EUS)-guided vascular intervention has recently been reported to be particularly useful in situations where traditional approaches may be challenging or ineffective [4].