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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...

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Autores principales: Berkowitz, Joshua C., Bhusal, Sushma, Desai, Deepak, Cerulli, Maurice A., Inamdar, Sumant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2016
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.
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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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