A CASE OF DUODENAL VARICES SUCCESSFULLY TREATED BY ENDOSCOPIC INJECTION SCLEROTHERAPY (EIS) WITH N-BUTYL-2-CYANOACRYLATE (HISTOACRYL)

Abstract

A 69-year-old male with liver cirrhosis and chronic renal failure was admitted in August 1998 because of tarry stools. Urgent esophago-gastro-duodenoscopy revealed ruptured varices at the descending portion of the duodenum which had been treated with endoscopic variceal ligation (EVL) two months before. The varices were treated with endoscopic injetion sclerotherapy (EIS) using n-butyl-2-cyanoacrylate (Histoacryl) and no further bleeding occurred after the EIS. Histoacryl polymer was detected in varices by X-ray and 3D-CT of abdomen. His clinical course was uneventful without bleeding or embolism of other organs related to this therapy. Thus EIS with Histoacryl is considered to be useful choice for the treatment of duodenal varices.