TREATMENT FOR RUPTURE OF DUODENAL VARICES

Abstract

Duodenal varices, one of the ectopic varices excluding esophagogastric varices, is a relatively rare disease, and if there is bleeding from the varices, it could be fatal. There is still no one established treatment for duodenal varices. Treatments include endoscopic treatment by endoscopic injection sclerotherapy （EIS） and embolization therapy with interventional radiology （IVR）. Prior to treatment, it is important to evaluate the hemodynamics using three-dimensional computed tomography （3D-CT）. For treatment of duodenal varices rupture, EIS by using cyanoacrylate drug seems to be effective. When carrying out EIS, the procedure is stabilized by placing the patient in the prone position. If varices remain after hemostatic treatment, additional treatment with EIS or IVR should be administered.