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Endoscopic Ultrasound-Guided Vascular Therapy for Portoduodenal Fistula
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Tanyaporn Chantarojanasiri, Apichet Sirinawasatien, Chalermrat Bunchorntavakul, Aroon Siripun, Sa-ard Treepongkaruna, Thawee Ratanachu-ek
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Clin Endosc 2020;53(6):750-753. Published online February 13, 2020
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DOI: https://doi.org/10.5946/ce.2019.167
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 Abstract
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- Portoenteric fistula is a rare cause of massive upper gastrointestinal bleeding. Most cases can be treated with radiointervention or surgery, but portoenteric fistula is associated with a high mortality. We reported a case of intermittent massive upper gastrointestinal bleeding in a 33-year-old man with cholangiocarcinoma who underwent surgical resection followed by chemoradiation. A portoduodenal fistula due to chronic duodenal ulceration was identified. The bleeding was successfully controlled by endoscopic ultrasound-guided coil placement through the duodenal bulb using the anchoring technique. Follow-up endoscopy and computed tomography scan showed multiple coil placements between a part of the portal vein and the duodenal bulb without any evidence of portal vein thrombosis. There were no complications, and bleeding did not recur during the 8-month follow-up period.
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Citations
Citations to this article as recorded by  - Management of non-variceal upper gastrointestinal bleeding: role of endoscopic ultrasound-guided treatments
Chaoqun Han, Xin Ling, Jun Liu, Rong Lin, Zhen Ding
Therapeutic Advances in Gastroenterology.2022; 15: 175628482110561. CrossRef - A Case of an Internal Pancreatic Stent Penetrating the Portal Vein after Pancreaticoduodenectomy for Ampullary Carcinoma
Masanobu Taniguchi, Atsushi Mitsunaka, Yumi Zen, Takayuki Higashiguchi, Masaru Nagato, Yasuhisa Tango, Ichiro Nakamura, Tomoaki Nakamura, Hisanori Shiomi
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Clinical Endoscopy.2022; 55(3): 458. CrossRef
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