Ascending Colon Variceal Bleeding in Cirrhotic Patient with Emergent Endoscopic Variceal Obturation with N-butyl-2-cyanoacrylate / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 37-41, 2018.
Article
in Ko
| WPRIM
| ID: wpr-715640
Responsible library:
WPRO
ABSTRACT
Ectopic varices are rare among patients with portal hypertension, especially in the ascending colon. It is difficult to evaluate massive lower gastrointestinal bleeding in patients with liver cirrhosis by colonoscopy due to hemodynamic instability and poor bowel preparation. In Korea, there has only been one case report about ascending colon variceal bleeding, in which hemostasis was performed by venous coil embolization. We report another rare case of ascending colon variceal bleeding in a patient with alcoholic cirrhosis, who was successfully treated via two sessions of N-butyl-2-cyanoacrylate injection through colonoscopy. This case suggests that the careful endoscopic approach and hemostasis with glue injection might be an option for treating massive bleeding in the lower gastrointestinal varix.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Varicose Veins
/
Esophageal and Gastric Varices
/
Adhesives
/
Colonoscopy
/
Cyanoacrylates
/
Colon, Ascending
/
Embolization, Therapeutic
/
Enbucrilate
/
Hemodynamics
/
Hemorrhage
Limits:
Humans
Country/Region as subject:
Asia
Language:
Ko
Journal:
The Korean Journal of Gastroenterology
Year:
2018
Type:
Article