Abstract
A 53-year-old man with alcoholic liver cirrhosis was admitted to our hospital because of esophageal varices and iron deficiency anemia. A clot of blood was found in the duodenal bulb on the first panendoscopy of upper GI series. Next day's endoscopy revealed vascular ectasia (VE) on the same place, and could not detect another lesion as a bleeding source. Pure ethanol was endoscopically injected into the lesion. Eight months after the endoscopic therapy, follow-up endoscopy was done but could not find any lesion in the duodenal bulb and his anemia was already improved. During upper GI panendoscopy, we occasionally encounter the VE, but few VE may bleed intermittently. When we find himorrhagic VE, we should fix or coagulate the lesion endoscopically as deep as submucosa because of the presence of submucosal thin-walled dilated vein, and follow up carefully about anemia and stool occult blood, because painless and intermittent bleeding may occur.
