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Downhill Esophageal Varices Associated With Central Venous Catheter-Related Thrombosis Managed With Endoscopic and Surgical Therapy
Downhill esophageal varices are a rare cause of upper gastrointestinal hemorrhage. We present a case of downhill variceal bleeding due to superior vena cava thrombosis resulting from a prior central venous catheter. The patient was managed with endoscopic band ligation and later with surgical axilla...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American College of Gastroenterology
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5062659/ https://www.ncbi.nlm.nih.gov/pubmed/27807564 http://dx.doi.org/10.14309/crj.2016.75 |
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author | Berkowitz, Joshua C. Bhusal, Sushma Desai, Deepak Cerulli, Maurice A. Inamdar, Sumant |
author_facet | Berkowitz, Joshua C. Bhusal, Sushma Desai, Deepak Cerulli, Maurice A. Inamdar, Sumant |
author_sort | Berkowitz, Joshua C. |
collection | PubMed |
description | Downhill esophageal varices are a rare cause of upper gastrointestinal hemorrhage. We present a case of downhill variceal bleeding due to superior vena cava thrombosis resulting from a prior central venous catheter. The patient was managed with endoscopic band ligation and later with surgical axillary vein to right atrium bypass grafting. Successful long-term resolution of varices was achieved at 1 year of follow-up. This is the longest follow-up described for combined endoscopic and surgical management in the existing literature for catheter-associated downhill varices. |
format | Online Article Text |
id | pubmed-5062659 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | American College of Gastroenterology |
record_format | MEDLINE/PubMed |
spelling | pubmed-50626592016-11-02 Downhill Esophageal Varices Associated With Central Venous Catheter-Related Thrombosis Managed With Endoscopic and Surgical Therapy Berkowitz, Joshua C. Bhusal, Sushma Desai, Deepak Cerulli, Maurice A. Inamdar, Sumant ACG Case Rep J Case Report Downhill esophageal varices are a rare cause of upper gastrointestinal hemorrhage. We present a case of downhill variceal bleeding due to superior vena cava thrombosis resulting from a prior central venous catheter. The patient was managed with endoscopic band ligation and later with surgical axillary vein to right atrium bypass grafting. Successful long-term resolution of varices was achieved at 1 year of follow-up. This is the longest follow-up described for combined endoscopic and surgical management in the existing literature for catheter-associated downhill varices. American College of Gastroenterology 2016-08-17 /pmc/articles/PMC5062659/ /pubmed/27807564 http://dx.doi.org/10.14309/crj.2016.75 Text en Copyright © Berkowitz et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Case Report Berkowitz, Joshua C. Bhusal, Sushma Desai, Deepak Cerulli, Maurice A. Inamdar, Sumant Downhill Esophageal Varices Associated With Central Venous Catheter-Related Thrombosis Managed With Endoscopic and Surgical Therapy |
title | Downhill Esophageal Varices Associated With Central Venous Catheter-Related Thrombosis Managed With Endoscopic and Surgical Therapy |
title_full | Downhill Esophageal Varices Associated With Central Venous Catheter-Related Thrombosis Managed With Endoscopic and Surgical Therapy |
title_fullStr | Downhill Esophageal Varices Associated With Central Venous Catheter-Related Thrombosis Managed With Endoscopic and Surgical Therapy |
title_full_unstemmed | Downhill Esophageal Varices Associated With Central Venous Catheter-Related Thrombosis Managed With Endoscopic and Surgical Therapy |
title_short | Downhill Esophageal Varices Associated With Central Venous Catheter-Related Thrombosis Managed With Endoscopic and Surgical Therapy |
title_sort | downhill esophageal varices associated with central venous catheter-related thrombosis managed with endoscopic and surgical therapy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5062659/ https://www.ncbi.nlm.nih.gov/pubmed/27807564 http://dx.doi.org/10.14309/crj.2016.75 |
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