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World J Gastroenterol. Jan 7, 2010; 16(1): 123-125
Published online Jan 7, 2010. doi: 10.3748/wjg.v16.i1.123
Published online Jan 7, 2010. doi: 10.3748/wjg.v16.i1.123
Successful endoscopic sclerotherapy for cholecystojejunostomy variceal bleeding in a patient with pancreatic head cancer
Yu-Chun Hsu, Hsu-Heng Yen, Yang-Yuan Chen, Maw-Soan Soon, Department of Gastroenterology, Changhua Christian Hospital, Changhua City 500, Taiwan, China
Author contributions: Hsu YC and Yen HH contributed equally to this work; Chen YY and Soon MS approved the paper.
Correspondence to: Hsu-Heng Yen, MD, Department of Gastroenterology, Changhua Christian Hospital, Changhua City 500, Taiwan, China. 91646@cch.org.tw
Telephone: +886-4-7238592-5501 Fax: +886-4-7228289
Received: September 23, 2009
Revised: December 2, 2009
Accepted: December 9, 2009
Published online: January 7, 2010
Revised: December 2, 2009
Accepted: December 9, 2009
Published online: January 7, 2010
Abstract
Variceal bleeding outside the esophagus and stomach is rare but important because of its difficult diagnosis and treatment. Bleeding from cholecystojejunostomy varices has been reported to be a late complication of palliative biliary surgery for chronic pancreatitis. Such ectopic variceal bleeding has never been reported after palliative surgery for pancreatic cancer, probably because of the limited lifespan of these patients. Herein, we report our successful experience using endoscopic cyanoacrylate sclerotherapy to treat bleeding from cholecystojejunostomy varices in a 57-year-old man with pancreatic head cancer. To our knowledge, this is the first case report in the literature of this rare complication.
Keywords: Ectopic varix; Pancreatic cancer; Cholecystojejunostomy; Sclerotherapy