BALLOON-OCCLUDED RETROGRADE TRANSVENOUS OCCLUSION IS AN OPTION IN MANAGEMENT OF ECTOPIC VARICES IN SMALL BOWEL
DOI:
https://doi.org/10.55519/JAMC-01-12798Keywords:
Cirrhosis, BRTO, coil embolization, small bowel varices, gastrointestinal bleeding.Abstract
Small bowel varices are rare complications of portal hypertension. TIPS is the main option with hepatic encephalopathy as biggest concern. BRTO is a suitable alternative. The major difference is increasing portal pressures instead, leading to risks of oesophageal variceal bleeding and ascites worsening consequently. We present an elderly patient with GI bleed due to varices in the jejunum picked up on VCE. His age and anatomy of vessels lead to use of BRTO instead of initially proposed TIPS procedure as therapeutic option.
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