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Hemostasis With Endoscopic Band Ligation for Rupture of Jejunal Varices
Yasutoshi Shiratori1, Kenji Nakamura1, Takashi Ikeya1
1Division of Gastroenterology, St. Luke's International Hospital, Tokyo, Japan.
Abstract:
Compared with the variceal rupture in the esophagus or stomach, rupture of ectopic varices including those in the jejunum is rare, and a definitive hemostatic method is not established. We report our case and review the literature regarding the pathophysiology and hemostatic methods of ectopic varices. A patient presented with hematemesis and cardiopulmonary arrest following hemorrhagic shock. After resuscitation, we performed emergency endoscopy and diagnosed ruptured jejunal varices that were subsequently treated by endoscopic band ligation.
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