Variceal bleeding from ileum identified and treated by single balloon enteroscopy

World J Gastroenterol. 2009 Apr 21;15(15):1904-5. doi: 10.3748/wjg.15.1904.

Abstract

We report a case of acute uncontrolled gastrointestinal bleeding in a patient with liver cirrhosis. The upper and lower endoscopy were negative for bleeding lesions. We decided to perform the examination of the small bowel using single-balloon enteroscopy. The lower enteroscopy revealed signs of bleeding from varices of the ileum. In this report, we showed that the injection of a sclerosant solution can be accomplished using a freehand technique via the single balloon enteroscopy.

Publication types

  • Case Reports

MeSH terms

  • Catheterization / methods*
  • Endoscopy, Gastrointestinal / methods*
  • Female
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / surgery*
  • Humans
  • Ileum* / pathology
  • Ileum* / surgery
  • Middle Aged
  • Sclerosing Solutions / therapeutic use
  • Treatment Outcome
  • Varicose Veins / complications
  • Varicose Veins / pathology*
  • Varicose Veins / surgery*

Substances

  • Sclerosing Solutions