Answers are grounded in this paper and cite their sources.
Case report demonstrates sequential emergency TIPS and transcatheter embolization for refractory duodenal variceal hemorrhage in cirrhosis, highlighting multimodal management strategies.
We present a case of a 53-year-old male with alcoholic cirrhosis who presented with acute hematemesis and hematochezia. The patient was initially treated with esophagogastroduodenoscopy guided band ligation of a large duodenal varix. Our interventional radiology department planned to treat this varix with balloon-occluded antegrade transvenous obliteration via a transhepatic approach. However, his hospital course was further complicated by decreasing hemoglobin and new hematochezia necessitated emergency transjugular intrahepatic portosystemic shunt (TIPS) placement. The patient underwent transcatheter embolization of the duodenal varices one day after the TIPS procedure due to recurrent bleeding. This case highlights the various decision points in the treatment algorithm for duodenal varices in the context of portal hypertension.
No takes yet. Share an insight, caveat, or question.
HOWE et al. (2020) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: