Successful management of a bleeding duodenal varix by endoscopic banding

NC Tan, S Ibrahim, KH Tay
Correspondence: Dr Tan Ngian Chye, ngian79@singnet.com.sg

ABSTRACT
Endoscopic treatment of bleeding duodenal varices is less invasive than the usual surgical options. However, there is limited experience with endoscopic treatment of bleeding duodenal varices, especially with that of endoscopic ligation. We report a 55-year-old man with a bleeding duodenal varix that was successfully ligated endoscopically. He has been followed up for nine months with no recurrence of bleeding. Endoscopic ligation may offer a new and effective treatment modality for bleeding duodenal varix.

Keywords: duodenal varix, endoscopic banding, endoscopy, gastrointestinal bleeding
Singapore Med J 2005; 46(12): 723-725