Successful endoscopic hemostasis for XXXX after balloon-occluded retrograde transvenous obliteration.

@entity1 @entity295 @entity417 @entity548 @entity1578 @entity397 @entity1277 @entity7548 @entity715 @entity298
A 75-year-old @entity1 with general malaise and @entity1277 was transferred to our hospital for assessment and treatment of @entity1578 . Laboratory findings on admission showed @entity417 , and gastroduodenoscopy (GDS) revealed linear esophageal varices and tensive duodenal varices (DV) in the second portion of the duodenum. Systemic examinations did not reveal any significant lesion capable of explaining his @entity417 , except for DV. Balloon-occluded retrograde transvenous obliteration was carried out to prevent DV @entity548 . Good pooling of sclerosant was observed using two balloon catheters. However, contrast-enhanced computed tomography after the procedure revealed no @entity715 in DV, and the @entity1 complained of tarry stools before additional therapy. Emergent GDS revealed @entity397 with fresh blood and erosions on the surface. Emergent endoscopic obliteration using the tissue adhesive @entity7548 was carried out and complete hemostasis was achieved. Although no rebleeding episodes were observed after emergent obliteration, the @entity1 died of @entity295 following spontaneous @entity298 53 days after admission. Autopsy revealed that DV dropped out, and the deep vein was replaced by granulation tissue. No signs of thrombi were detected, except varices. This autopsy case revealed the difficulty in DV management.
