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Updated: Jun 17, 2026
04:09
Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
Published on: June 13, 2025
[Embolization of recurrent bleeding jejunal varices].
1Service d'imagerie médicale, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 01, France. robert.brice@chu-amiens.fr
Gastroenterologie Clinique Et Biologique
|January 9, 2010
Summary
Recurrent digestive bleeding from ectopic jejunal varices in a cirrhotic patient was successfully treated by transjugular intrahepatic porto-systemic shunt (TIPS) embolization. This minimally invasive procedure prevented recurrence for 24 months, offering a safe and effective treatment option.
Area of Science:
- Interventional Radiology
- Hepatology
- Gastroenterology
Background:
- Portal hypertension is a common complication of liver cirrhosis.
- Ectopic varices can cause severe, life-threatening gastrointestinal bleeding.
- Transjugular intrahepatic porto-systemic shunt (TIPS) is used to manage portal hypertension but can sometimes lead to variceal complications.
Observation:
- A 51-year-old cirrhotic patient presented with recurrent digestive hemorrhage due to bleeding ectopic jejunal varices.
- The patient had previously undergone TIPS placement for similar issues.
- The ectopic varices were successfully embolized using an innovative transjugular and trans-TIPS approach.
Findings:
- The embolization procedure was technically successful and performed without complications.
- No recurrence of bleeding was observed during a 24-month follow-up period.
- This demonstrates the efficacy of the transjugular and trans-TIPS route for treating bleeding ectopic jejunal varices.
Implications:
- This case highlights a viable treatment strategy for refractory bleeding from ectopic varices in cirrhotic patients post-TIPS.
- Minimally invasive embolization offers a potentially safer alternative to surgical interventions.
- Further studies are warranted to evaluate the long-term outcomes of this technique.
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