Abstract
A 61-year-old woman was admitted to our hospital because of passage of tarry stools. She had undergone pancreaticoduodenectomy (PD) for traumatic pancreatic injury 6 months previously. Gastrointestinal endoscopy and colonoscopy were performed, but the source of bleeding could not be identified. Since the symptom disappeared with conservative treatment, she was discharged. However, 2 weeks later, she again passed tarry stools. Conventional endoscopy indicated bleeding from the afferent loop. Pancreaticojejunal varices were detected by double balloon endoscopy (DBE). We performed endoscopic clipping for the varices. Symptomatic remission was attained, and no recurrence of gastrointestinal hemorrhage has occurred over a period of 4 years and 6 months. DBE was a successful method for observation, diagnosis, and treatment of pancreaticojejunal varices after PD.
