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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Main Authors: William Henry Eskew, Jesus Beltran-Perez, Bruce Bordlee
Format: Article
Language:English
Published: Society of Gastrointestinal Intervention 2024-01-01
Series:International Journal of Gastrointestinal Intervention
Subjects:
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.
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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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