Duodenal varices diagnosed by endoscopic ultrasound: A case report

ASİL, Mehmet; biyik, murat; ATASEVEN, Hüseyin; Polat, Hakki; DEMİR, ALİ; Dertli, Ramazan

Duodenal varices diagnosed by endoscopic ultrasound: A case report

Mehmet ASİL, (Necmettin Erbakan University, Meram Medical Faculty, Department of Gastroenterology, Konya, Turkey)

Ramazan DERTLİ, (Necmettin Erbakan University, Meram Medical Faculty, Department of Gastroenterology, Konya, Turkey)

Murat BIYIK, (Konya Üniversitesi, Tıp Fakültesi, Gastroenteroloji Anabilim Dalı, Konya, Türkiye)

Hüseyin ATASEVEN, (Necmettin Erbakan University, Meram Medical Faculty, Department of Gastroenterology, Konya, Turkey)

Hakkı POLAT, (Necmettin Erbakan University, Meram Faculty of Medicine, Department of Internal Medicine, Konya, Turkey)

Ali DEMİR (Necmettin Erbakan University, Meram Medical Faculty, Department of Gastroenterology, Konya, Turkey)

İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi

0 0

Yıl: 2017 Cilt: 24 Sayı: 3 Sayfa Aralığı: 338 - 341 Metin Dili: İngilizce İndeks Tarihi: 26-09-2018

Duodenal varices diagnosed by endoscopic ultrasound: A case report

Öz:

Portal hypertension and associated complications cause significant morbidity and mortality in cirrhotic patients. Variceal development is the most important portal hypertension related complication. Varices most commonly occur around the gastroesophageal junction, but ectopic varices may develop in many gastrointestinal and extra-gastrointestinal localizations. Duodenum is one of the most common localizations for ectopic varices. Diagnosis of duodenal varices is usually made by upper gastrointestinal endoscopy, but endoscopic appearance is not diagnostic and usually further investigations are required in order to make accurate diagnosis. Endoscopic ultrasound is the gold standard method for the examination of gastrointestinal submucosal lesions therefore it is alsouseful in the work up of suspected duodenal varices. Here we present a patient with cryptogenic liver cirrhosis followed in our clinic, whom duodenal lesions suspected of duodenal varices were noticed during upper gastrointestinal endoscopic examination and endoscopic ultrasound was used to confirm the presence of duodenal varices.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

Fujii-Lau LL, Law R, Wong Kee Song LM, Gostout CJ, Kamath PS, Levy MJ. Endoscopic ultrasound (EUS)-guided coil injection therapy of esophagogastric and ectopic varices. Surg Endosc 2016;30(4):1396-404.
Zamora CA, Sugimoto K, Tsurusaki M, Izaki K, Fukuda T, Matsumoto S, et al. Endovascular obliteration of bleeding duodenal varices in patients with liver cirrhosis. Eur Radiol 2006;16(1):73-9.
Gunnerson AC, Diehl DL, Nguyen VN, Shellenberger MJ, Blansfield J. Endoscopic duodenal variceal ligation: a series of 4 cases and review of the literature (with video). Gastrointest Endosc 2012;76(4):900-4.
Park SB, Lee SH, Kim JH, Lee HJ, Jang SP, Lee JN, et al. Successful treatment of duodenal variceal bleeding by endoscopic clipping. ClinEndosc 2013;46(4):403-6.
Liu Y, Yang J, Wang J, Chai G, Sun G, Wang Z, et al. Clinical characteristics and endoscopic treatment with cyanoacrylate injection in patients with duodenal varices. Scand J Gastroenterol 2009;44(8):1012–6.
Arora A, Rajesh S, Meenakshi YS, Sureka B, Bansal K, Sarin SK. Spectrum of hepatofugal collateral pathways in portal hypertension: an illustrated radiological review. Insights Imaging 2015;6(5):559-72.
Watanabe N, Toyonaga A, Kojima S, Takashimizu S, Oho K, Kokubu S, et al. Current status of ectopic varices in Japan: Results of a survey by the Japan Society for Portal Hypertension. Hepatol Res 2010;40(8):763-76.
Kinzel J, Pichetshote N, Dredar S, Aslanian H, Nagar A. Bleeding from a duodenal varix: a unique case of variceal hemostasis achieved using EUS-guided placement of an embolization coil and cyanoacrylate. J ClinGastroenterol 2014;48(4):362-4.
Rana SS, Bhasin DK, Sharma V, Chaudhary V, Sharma R, Singh K. Clinical, endoscopic and endoscopic ultrasound features of duodenal varices: A report of 10 cases. Endosc Ultrasound 2014;3(1):54-7.
Helmy A, Al Kahtani K, Al Fadda M. Updates in the pathogenesis, diagnosis and management of ectopic varices. Hepatol Int 2008;2(3):322-34.
Stephan G, Miething R. [X-ray diagnosis of varicose duodenal changes in poratal hypertension]. Radiologe 1968;8(3):90-5.
Khouqeer F, Morrow C, Jordan P. Duodenal varices as a cause of massive upper gastrointestinal bleeding. Surgery 1987;102(3)548-52.
Norton ID, Andrews JC, Kamath PS. Management of ectopic varices. Hepatology 1998;28(4):1154-8.
Biyik M, Ucar R, Cifci S, Ozbek O, Gungor G, Ozer Cakır O, et al. External hemorrhage from a portacaval anastomosis in a patient with liver cirrhosis. Case Reports Hepatol 2014;2014:523610.
Sato T, Akaike J, Toyota J, Karino Y, Ohmura T. Clinicopathological features and treatment of ectopic varices with portal hypertension. Int J Hepatol 2011;2011:960720.

APA	ASİL M, Dertli R, biyik m, ATASEVEN H, Polat H, DEMİR A (2017). Duodenal varices diagnosed by endoscopic ultrasound: A case report. , 338 - 341.
Chicago	ASİL Mehmet,Dertli Ramazan,biyik murat,ATASEVEN Hüseyin,Polat Hakki,DEMİR ALİ Duodenal varices diagnosed by endoscopic ultrasound: A case report. (2017): 338 - 341.
MLA	ASİL Mehmet,Dertli Ramazan,biyik murat,ATASEVEN Hüseyin,Polat Hakki,DEMİR ALİ Duodenal varices diagnosed by endoscopic ultrasound: A case report. , 2017, ss.338 - 341.
AMA	ASİL M,Dertli R,biyik m,ATASEVEN H,Polat H,DEMİR A Duodenal varices diagnosed by endoscopic ultrasound: A case report. . 2017; 338 - 341.
Vancouver	ASİL M,Dertli R,biyik m,ATASEVEN H,Polat H,DEMİR A Duodenal varices diagnosed by endoscopic ultrasound: A case report. . 2017; 338 - 341.
IEEE	ASİL M,Dertli R,biyik m,ATASEVEN H,Polat H,DEMİR A "Duodenal varices diagnosed by endoscopic ultrasound: A case report." , ss.338 - 341, 2017.
ISNAD	ASİL, Mehmet vd. "Duodenal varices diagnosed by endoscopic ultrasound: A case report". (2017), 338-341.

APA	ASİL M, Dertli R, biyik m, ATASEVEN H, Polat H, DEMİR A (2017). Duodenal varices diagnosed by endoscopic ultrasound: A case report. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 24(3), 338 - 341.
Chicago	ASİL Mehmet,Dertli Ramazan,biyik murat,ATASEVEN Hüseyin,Polat Hakki,DEMİR ALİ Duodenal varices diagnosed by endoscopic ultrasound: A case report. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 24, no.3 (2017): 338 - 341.
MLA	ASİL Mehmet,Dertli Ramazan,biyik murat,ATASEVEN Hüseyin,Polat Hakki,DEMİR ALİ Duodenal varices diagnosed by endoscopic ultrasound: A case report. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, vol.24, no.3, 2017, ss.338 - 341.
AMA	ASİL M,Dertli R,biyik m,ATASEVEN H,Polat H,DEMİR A Duodenal varices diagnosed by endoscopic ultrasound: A case report. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2017; 24(3): 338 - 341.
Vancouver	ASİL M,Dertli R,biyik m,ATASEVEN H,Polat H,DEMİR A Duodenal varices diagnosed by endoscopic ultrasound: A case report. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2017; 24(3): 338 - 341.
IEEE	ASİL M,Dertli R,biyik m,ATASEVEN H,Polat H,DEMİR A "Duodenal varices diagnosed by endoscopic ultrasound: A case report." İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 24, ss.338 - 341, 2017.
ISNAD	ASİL, Mehmet vd. "Duodenal varices diagnosed by endoscopic ultrasound: A case report". İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 24/3 (2017), 338-341.