A CASE REPORT OF RUPTURED DUODENAL VARICES TREATED BY ENDOSCOPIC VARICEAL LIGATION (EVL)

Abstract

A 31-year-old man with extrahepatic portal vein obstruction was admitted to our hospital because of intermittent bloody stool. He had a history of abdominal operations 2 times and endoscapic injection sclerotherapy (EIS)for esophageal varices. By endoscopic examination, diffuse duodenal varices was found from the lst portion to the 3rd portion of duodenum and bleeding variees was recognised on the 2nd portion. EVL was performed successfully for the bleeding varices. EIS with 1% aethoxysclerol was performed the next day. 2 months later, endoscopie examination showed that varices near the treated site almost disapperred and scarred. In conclusion, EVL is a safe and simple method, and it should be considered as an effective, therapy for ruptured duodenal varices.