| ISSN |
1948-9366 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
|
| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
|
| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Retrospective Study |
| Article Title |
Successful management of bleeding ectopic small bowel varices secondary to portal hypertension: A retrospective study
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Nian-Jun Xiao, Jian-Guo Chu, Shou-Bin Ning, Bao-Jie Wei, Zhi-Bo Xia and Zhe-Yi Han |
| ORCID |
|
| Funding Agency and Grant Number |
| Funding Agency |
Grant Number |
| Air Force Medical Center Outstanding Youth Program |
No. 2022YXQNNO36 |
|
| Corresponding Author |
Zhe-Yi Han, Department of Gastroenterology, Air Force Medical Center, Air Force Medical University, No. 30 Fucheng Road, Haidian District, Beijing 100142, China. zheyihan_fmmu@163.com |
| Key Words |
Suspected small bowel bleeding; Transjugular intrahepatic portal-systematic shunt; Enteroscopic injection sclerotherapy; Bleeding ectopic varices; Portal hypertension |
| Core Tip |
Bleeding ectopic varices located in the small bowel (BEV-SB) caused by portal hypertension is a rare, life-threatening clinical scenario. This retrospective study presented the treatment experience using enteroscopic injection sclerotherapy (EIS) and subsequent interventional radiology (IR) for BEV-SB. From January 2019 to December 2023, 4 of 519 patients with portal hypertension were identified as BEV-SB. The phases from the first episode of BEV-SB to the first EIS, the first EIS to the first IR, and the first IR to December 2023 were 20 person-months, 42 person-months, and 77 person-months, respectively. The corresponding transfusions of each phase were 34 units, 31 units, and 3.5 units of red blood cells and 13 units, 14 units, and 1 unit of plasma, respectively. After the comprehensive management, no further gastrointestinal bleeding was observed. We conclude that EIS may be effective in achieving hemostasis for in BEV-SB, although, rebleeding is common, and IR aiming to reduce portal venous pressure may lower the rebleeding rate. |
| Publish Date |
2025-02-24 09:26 |
| Citation |
<p>Xiao NJ, Chu JG, Ning SB, Wei BJ, Xia ZB, Han ZY. Successful management of bleeding ectopic small bowel varices secondary to portal hypertension: A retrospective study. <i>World J Gastrointest Surg</i> 2025; 17(3): 102589</p> |
| URL |
https://www.wjgnet.com/1948-9366/full/v17/i3/102589.htm |
| DOI |
https://dx.doi.org/10.4240/wjgs.v17.i3.102589 |
