Endoscopic Ultrasound-Guided Vascular Therapy for Portoduodenal Fistula
Portoenteric fistula is a rare cause of massive upper gastrointestinal bleeding. Most cases can be treated with radiointervention or surgery, but portoenteric fistula is associated with a high mortality. We reported a case of intermittent massive upper gastrointestinal bleeding in a 33-year-old man...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Gastrointestinal Endoscopy
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7719415/ https://www.ncbi.nlm.nih.gov/pubmed/32050308 http://dx.doi.org/10.5946/ce.2019.167 |
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author | Chantarojanasiri, Tanyaporn Sirinawasatien, Apichet Bunchorntavakul, Chalermrat Siripun, Aroon Treepongkaruna, Sa-ard Ratanachu-ek, Thawee |
author_facet | Chantarojanasiri, Tanyaporn Sirinawasatien, Apichet Bunchorntavakul, Chalermrat Siripun, Aroon Treepongkaruna, Sa-ard Ratanachu-ek, Thawee |
author_sort | Chantarojanasiri, Tanyaporn |
collection | PubMed |
description | Portoenteric fistula is a rare cause of massive upper gastrointestinal bleeding. Most cases can be treated with radiointervention or surgery, but portoenteric fistula is associated with a high mortality. We reported a case of intermittent massive upper gastrointestinal bleeding in a 33-year-old man with cholangiocarcinoma who underwent surgical resection followed by chemoradiation. A portoduodenal fistula due to chronic duodenal ulceration was identified. The bleeding was successfully controlled by endoscopic ultrasound-guided coil placement through the duodenal bulb using the anchoring technique. Follow-up endoscopy and computed tomography scan showed multiple coil placements between a part of the portal vein and the duodenal bulb without any evidence of portal vein thrombosis. There were no complications, and bleeding did not recur during the 8-month follow-up period. |
format | Online Article Text |
id | pubmed-7719415 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
spelling | pubmed-77194152020-12-09 Endoscopic Ultrasound-Guided Vascular Therapy for Portoduodenal Fistula Chantarojanasiri, Tanyaporn Sirinawasatien, Apichet Bunchorntavakul, Chalermrat Siripun, Aroon Treepongkaruna, Sa-ard Ratanachu-ek, Thawee Clin Endosc Case Report Portoenteric fistula is a rare cause of massive upper gastrointestinal bleeding. Most cases can be treated with radiointervention or surgery, but portoenteric fistula is associated with a high mortality. We reported a case of intermittent massive upper gastrointestinal bleeding in a 33-year-old man with cholangiocarcinoma who underwent surgical resection followed by chemoradiation. A portoduodenal fistula due to chronic duodenal ulceration was identified. The bleeding was successfully controlled by endoscopic ultrasound-guided coil placement through the duodenal bulb using the anchoring technique. Follow-up endoscopy and computed tomography scan showed multiple coil placements between a part of the portal vein and the duodenal bulb without any evidence of portal vein thrombosis. There were no complications, and bleeding did not recur during the 8-month follow-up period. Korean Society of Gastrointestinal Endoscopy 2020-11 2020-02-13 /pmc/articles/PMC7719415/ /pubmed/32050308 http://dx.doi.org/10.5946/ce.2019.167 Text en Copyright © 2020 Korean Society of Gastrointestinal Endoscopy This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Chantarojanasiri, Tanyaporn Sirinawasatien, Apichet Bunchorntavakul, Chalermrat Siripun, Aroon Treepongkaruna, Sa-ard Ratanachu-ek, Thawee Endoscopic Ultrasound-Guided Vascular Therapy for Portoduodenal Fistula |
title | Endoscopic Ultrasound-Guided Vascular Therapy for Portoduodenal Fistula |
title_full | Endoscopic Ultrasound-Guided Vascular Therapy for Portoduodenal Fistula |
title_fullStr | Endoscopic Ultrasound-Guided Vascular Therapy for Portoduodenal Fistula |
title_full_unstemmed | Endoscopic Ultrasound-Guided Vascular Therapy for Portoduodenal Fistula |
title_short | Endoscopic Ultrasound-Guided Vascular Therapy for Portoduodenal Fistula |
title_sort | endoscopic ultrasound-guided vascular therapy for portoduodenal fistula |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7719415/ https://www.ncbi.nlm.nih.gov/pubmed/32050308 http://dx.doi.org/10.5946/ce.2019.167 |
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