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Turgut Özal Tıp Merkezi Dergisi

2017, Cilt 24, Sayı 3

Duodenal varices diagnosed by endoscopic ultrasound: A case report

Mehmet Asil1, Ramazan Dertli1, Murat Biyik1, Huseyin Ataseven1, Hakki Polat2, Ali Demir1

1Necmettin Erbakan University, Meram Medical Faculty, Department of Gastroenterology, Konya, Turkey

2Necmettin Erbakan University, Meram Faculty of Medicine, Department of Internal Medicine, Konya, Turkey

Abstract

Portal hypertension and associated complications cause significant morbidity and mortality in cirrhotic patients. Variceal development is the most important portal hypertension related complication. Varices most commonly occur around the gastroesophageal junction, but ectopic varices may develop in many gastrointestinal and extra-gastrointestinal localizations. Duodenum is one of the most common localizations for ectopic varices. Diagnosis of duodenal varices is usually made by upper gastrointestinal endoscopy, but endoscopic appearance is not diagnostic and usually further investigations are required in order to make accurate diagnosis. Endoscopic ultrasound is the gold standard method for the examination of gastrointestinal submucosal lesions therefore it is also useful in the work up of suspected duodenal varices. Here we present a patient with cryptogenic liver cirrhosis followed in our clinic, whom duodenal lesions suspected of duodenal varices were noticed during upper gastrointestinal endoscopic examination and endoscopic ultrasound was used to confirm the presence of duodenal varices.

Keywords: Portal Hypertension; Endoscopic Ultrasound; Varices.

Özet Abstract Tam Makale/PDF
 
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