Severe Bleeding from Esophageal Varices in a Non-Cirrhotic Patient
Author Information
Author(s): Roberto Caronna, Mario Bezzi, Monica Schiratti, Maurizio Cardi, Giampaolo Prezioso, Michele Benedetti, Federica Papini, Simona Mangioni, Gabriele Martino, Piero Chirletti
Primary Institution: Sapienza University of Rome
Hypothesis
What is the best management approach for severe variceal bleeding in a non-cirrhotic patient with portal hypertension?
Conclusion
Emergency stenting of the portal vein can effectively control variceal bleeding in patients with portal thrombosis when endoscopic treatment fails.
Supporting Evidence
- Endoscopic therapy failed to control the bleeding in this patient.
- Emergency stenting was performed after unsuccessful surgical options.
- The patient had no signs of esophageal varices or stent obstruction at follow-up seven years later.
Takeaway
If someone has bleeding from their esophagus because of swollen veins and regular treatments don't work, doctors can use a special procedure to fix the problem.
Methodology
The patient underwent endoscopic sclerotherapy, followed by surgical procedures and finally an emergency angioradiologic procedure with stenting.
Limitations
The case is based on a single patient, limiting the generalizability of the findings.
Participant Demographics
A 58-year-old non-alcoholic male patient.
Digital Object Identifier (DOI)
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