Tratamiento endoscópico de varices duodenales con cianoacrilato / Endoscopic treatment of duodenal varices with cyanoacrylate

Introducción: el duodeno es la localización más frecuente de varices ectópicas. Su sangrado es poco frecuente, pero cuando ocurre, es masivo y de difícil control. Material y métodos: descripción retrospectiva de cinco casos clínicos de hemorragia digestiva secundaria a varices duodenales en los años 2011 y 2012, sus características clínicas, diagnóstico endoscópico, tratamiento endoscópico con inyección de cianoacrilato y posterior seguimiento y valoración de resangrado. Resultados: los cinco pacientes fueron tratados con inyección endoscópica de cianoacrilato de los cuales, dos pacientes experimentaron resangrado. Tres de nuestros pacientes fallecieron durante el seguimiento, uno de ellos por hemorragia digestiva. Conclusión: podemos afirmar que el tratamiento endoscópico de las varices duodenales con cianoacrilato es técnicamente factible, y puede ser de ayuda para controlar el episodio inicial de sangrado de este modo ganar tiempo de cara a otros tratamientos definitivos, siempre y cuando el estado del paciente lo permita (AU)

Background: the duodenum is the most common location for ectopic varices. Bleeding is rare, but when it appears, it is massive and difficult to control. Material and methods: retrospective description of five clinical cases of digestive bleeding secondary to duodenal varices that we observed between the years 2011 and 2012, together with their clinical characteristics, endoscopic diagnosis, endoscopic treatment with cyanoacrylate injection and the posterior follow-up and assessment of new bleeding. Results: all five patients were treated with an endoscopic cyanoacrylate injection and two of the patients experienced a digestive rebleeding. Three of the patients died during the follow-up period, only one due to cause digestive bleeding. Conclusion: in conclusion we can state that endoscopic treatment of duodenal varices with cyanoacrylate is technically possible, and it permits us to control the first bleeding before doing other definitive treatments, if the patient condition allows it (AU)

Endoscopic treatment of duodenal varices with cyanoacrylate.

BACKGROUND: the duodenum is the most common location for ectopic varices. Bleeding is rare, but when it appears, it is massive and difficult to control. MATERIAL AND METHODS: retrospective description of five clinical cases of digestive bleeding secondary to duodenal varices that we observed between the years 2011 and 2012, together with their clinical characteristics, endoscopic diagnosis, endoscopic treatment with cyanoacrylate injection and the posterior follow-up and assessment of new bleeding. RESULTS: all five patients were treated with an endoscopic cyanoacrylate injection and two of the patients experienced a digestive rebleeding. Three of the patients died during the follow-up period, only one due to cause digestive bleeding. CONCLUSION: in conclusion we can state that endoscopic treatment of duodenal varices with cyanoacrylate is technically possible, and it permits us to control the first bleeding before doing other definitive treatments, if the patient condition allows it.