Percutaneous transhepatic obliteration with N-butyl-2-cyanoacrylate in a patient with a superior mesenteric vein intraluminal distal small bowel variceal bleed
Gastrointestinal (GI) bleeding is a serious complication with a high mortality rate (45%-55%) that can result from a variety of conditions, including portal hypertension, diverticulosis, or splenic vein thrombosis. There are a variety of established treatment strategies for GI bleeds, and there are...
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Format: | Article |
Language: | English |
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Society of Gastrointestinal Intervention
2024-01-01
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Series: | International Journal of Gastrointestinal Intervention |
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Online Access: | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii230048 |
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author | William Henry Eskew Jesus Beltran-Perez Bruce Bordlee |
author_facet | William Henry Eskew Jesus Beltran-Perez Bruce Bordlee |
author_sort | William Henry Eskew |
collection | DOAJ |
description | Gastrointestinal (GI) bleeding is a serious complication with a high mortality rate (45%-55%) that can result from a variety of conditions, including portal hypertension, diverticulosis, or splenic vein thrombosis. There are a variety of established treatment strategies for GI bleeds, and there are different indications and contraindications for each. In this case, colonoscopy did not identify any active source of bleeding. Furthermore, because this GI hemorrhage did not involve any shunts, balloon-occluded retrograde transvenous obliteration was not performed. Additionally, a transjugular intrahepatic portosystemic shunt was ruled out due to the poor primary shunt patency rate. Here, we report the treatment of a GI bleed with N-butyl-2-cyanoacrylate (n-BCA) liquid embolization with no complications. This case demonstrates the potential of using n-BCA to treat small bowel varices. |
first_indexed | 2024-03-08T09:26:47Z |
format | Article |
id | doaj.art-4856fcf754334ebb93c32ed411332810 |
institution | Directory Open Access Journal |
issn | 2636-0004 |
language | English |
last_indexed | 2024-03-08T09:26:47Z |
publishDate | 2024-01-01 |
publisher | Society of Gastrointestinal Intervention |
record_format | Article |
series | International Journal of Gastrointestinal Intervention |
spelling | doaj.art-4856fcf754334ebb93c32ed4113328102024-01-31T08:00:27ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042024-01-01131232510.18528/ijgii230048ijgii230048Percutaneous transhepatic obliteration with N-butyl-2-cyanoacrylate in a patient with a superior mesenteric vein intraluminal distal small bowel variceal bleedWilliam Henry Eskew0Jesus Beltran-Perez1Bruce Bordlee2Department of Interventional Radiology, Tulane University School of Medicine, New Orleans, LA, USADepartment of Interventional Radiology, University of Texas Health San Antonio, San Antonio, TX, USADepartment of Interventional Radiology, Tulane University School of Medicine, New Orleans, LA, USAGastrointestinal (GI) bleeding is a serious complication with a high mortality rate (45%-55%) that can result from a variety of conditions, including portal hypertension, diverticulosis, or splenic vein thrombosis. There are a variety of established treatment strategies for GI bleeds, and there are different indications and contraindications for each. In this case, colonoscopy did not identify any active source of bleeding. Furthermore, because this GI hemorrhage did not involve any shunts, balloon-occluded retrograde transvenous obliteration was not performed. Additionally, a transjugular intrahepatic portosystemic shunt was ruled out due to the poor primary shunt patency rate. Here, we report the treatment of a GI bleed with N-butyl-2-cyanoacrylate (n-BCA) liquid embolization with no complications. This case demonstrates the potential of using n-BCA to treat small bowel varices.https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii230048embolization, therapeuticenbucrilategastrointestinal hemorrhagemesenteric veinstissue adhesives |
spellingShingle | William Henry Eskew Jesus Beltran-Perez Bruce Bordlee Percutaneous transhepatic obliteration with N-butyl-2-cyanoacrylate in a patient with a superior mesenteric vein intraluminal distal small bowel variceal bleed International Journal of Gastrointestinal Intervention embolization, therapeutic enbucrilate gastrointestinal hemorrhage mesenteric veins tissue adhesives |
title | Percutaneous transhepatic obliteration with N-butyl-2-cyanoacrylate in a patient with a superior mesenteric vein intraluminal distal small bowel variceal bleed |
title_full | Percutaneous transhepatic obliteration with N-butyl-2-cyanoacrylate in a patient with a superior mesenteric vein intraluminal distal small bowel variceal bleed |
title_fullStr | Percutaneous transhepatic obliteration with N-butyl-2-cyanoacrylate in a patient with a superior mesenteric vein intraluminal distal small bowel variceal bleed |
title_full_unstemmed | Percutaneous transhepatic obliteration with N-butyl-2-cyanoacrylate in a patient with a superior mesenteric vein intraluminal distal small bowel variceal bleed |
title_short | Percutaneous transhepatic obliteration with N-butyl-2-cyanoacrylate in a patient with a superior mesenteric vein intraluminal distal small bowel variceal bleed |
title_sort | percutaneous transhepatic obliteration with n butyl 2 cyanoacrylate in a patient with a superior mesenteric vein intraluminal distal small bowel variceal bleed |
topic | embolization, therapeutic enbucrilate gastrointestinal hemorrhage mesenteric veins tissue adhesives |
url | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii230048 |
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