Abstract
A 56-year-old man was admitted to our hospital because of passage of tarry stools. He had undergone gastrectomy for a duodenal ulcer previously and he had had repeated exacerbation of chronic pancreatitis. Gastrointestinal endoscopy and colonoscopy were performed, but the source of bleeding could not be identified. Computed tomography demonstrated splenic vein emboli and small intestinal varices. We thought that the varices were the source of bleeding. The drainage vein of the varices was not identified. We could not perform interventional radiography. Therefore, we performed capsule endoscopy and double balloon endoscopy, but we could not detect the varices. For diagnosis and treatment, we performed gastrointestinal endoscopy again. We detected small varices near the anastomosis site and carried out endoscopic band ligation and injection of polydocanol. Symptomatic remission was attained, and no recurrence of gastrointestinal hemorrhage has occurred over the past one year. We consider that endoscopic therapy may be a good treatment modality for small intestinal varices.
