| Theme | Treatment for Portal Hypertension : Update | |
|---|---|---|
| Title | Endoscopic Treatment for Ectopic Varices | |
| Publish Date | 2012/02 | |
| Author | Shigenaga Matsui | Department of Gastroenterology and Hepatology, Kinki University, Faculty of Medicine |
| Author | Hiroshi Kashida | Department of Gastroenterology and Hepatology, Kinki University, Faculty of Medicine |
| Author | Yutaka Asakuma | Department of Gastroenterology and Hepatology, Kinki University, Faculty of Medicine |
| Author | Masanori Kawasaki | Department of Gastroenterology and Hepatology, Kinki University, Faculty of Medicine |
| Author | Toshiharu Sakurai | Department of Gastroenterology and Hepatology, Kinki University, Faculty of Medicine |
| Author | Masatoshi Kudo | Department of Gastroenterology and Hepatology, Kinki University, Faculty of Medicine |
| [ Summary ] | Recently, optimum treatments for esophagogastric varices have been established. Therefore, the number of reports concerning ectopic varices has increased. The clinical characteristics of duodenal varices, which are one form of ectopic varices, have come to be considered similar to those of esophageal varices. Hemorrhagic factors related to duodenal varices include rapid increase in volume, erosion, red color. These symptoms are more commonly observed than in F2 having gastric varices and risky varices. Diagnosis with helical CTs or MRIs is useful for determining the hemodynamics of this condition. Endoscopic treatments, such as EIS using α-cyanoacrylate monomer, are useful for controlling bleeding from duodenal varices. Guidelines for adequate treatment of duodenal varices must be established soon. | |