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Updated: May 25, 2026

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
Published on: June 13, 2025
Effective treatment for duodenal variceal bleeding using endoscopic ligation
Yutaka Kawakami1, Hirokazu Takahashi, Shingo Kato
1Yokohama City University School of Medicine, Yokohama, Japan.
Abstract:
Duodenal variceal rupture is rare, and there is little agreement on the best therapeutic option. A 72-year old man treated for liver cirrhosis with HCV visited the emergency room complaining of dizziness and tarry stool. Fiberscope images showed varices (F2CbRC+) with white plaques at the horizontal region of the duodenum. The patient was treated using endoscopic variceal ligation (EVL), and no more bleeding has been detected.
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