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...

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Autores principales: Chantarojanasiri, Tanyaporn, Sirinawasatien, Apichet, Bunchorntavakul, Chalermrat, Siripun, Aroon, Treepongkaruna, Sa-ard, Ratanachu-ek, Thawee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Gastrointestinal Endoscopy 2020
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.
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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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