Abstract
We report on a case of colonic varices treated with multi-hemoclipping which is our new original endoscopic technique. A-76 year old female was diagnosed with Stage IVa pancreatic cancer according to the TNM classification two years ago. We performed gemcitabine (GEM) chemotherapy, but 20 months later, this patient was admitted to our hospital with massive lower gastrointestinal bleeding. Colonoscopy revealed a markedly dilated tortuous vein with an ulcerated section in the ascending colon. Via a colonoscopy the placement of 22 hemoclips strangulated these varices and also closed the variceal rupture. After treatment, the patient had no symptom of hemorrhage for two months during existence. This endoscopic multi-hemoclipping is possibly one of the effective treatments of colonic varices for both inoperable cases and those with variceal rupture.
