Post written by Kar Wai Lau, MBBCh, BAO (Hon), MD, FRCP, from the Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, United Kingdom. This is a case of a patient who presented with significant upper GI bleeding with hemodynamic compromise. She had a history of alcohol excess, and there was suspicion of variceal …
Continue reading Duodenoscopy-assisted diagnosis and management of a duodenal varix
Post written by Aleem Azal Ali, MBBS, Sonal Jadeja, DO, and Bruno De Souza Ribeiro, MD, from the University of Florida, College of Medicine, Jacksonville, Florida, USA. This video manuscript describes the case of a 49-year-old man who presented in hypovolemic shock secondary to hematemesis. He had a similar presentation, 2 weeks prior, when EGD …
Continue reading Active bleeding from downhill varices: case report and management
Post written by Lovekirat Dhaliwal, MBBS, and Prasad G. Iyer, MD MSc, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. A 65-year-old man with alcohol-related liver disease and COPD was recently diagnosed with esophageal adenocarcinoma on a background of varices. EUS demonstrated a 2-cm hypoechoic mass invading into deep mucosa. PET-CT scan …
Post written by Ping Li, MD, from the Department of Gastroenterology and Hepatology, Beijing Ditan Hospital, Capital Medical University, Beijing, China. We employed a new method to obstruct severely isolated gastric varices with a massive spleno-renal shunt and to reduce embolic risk. This novel method did not only successfully prevent recurrent hemorrhage but also reduced …
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