Jejunal variceal bleeding after esophageal transection in a patient with idiopathic portal hypertension

Shin Ichiro Migou, Makoto Hashizume, Kouji Tsugawa, Fumiaki Kishihara, Hirofumi Kawanaka, Masayuki Ohta, Kazuo Tanoue, Toshiro Kuroiwa, Kenji Kawamoto, Keizo Sugimachi

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10 Citations (Scopus)

Abstract

This report describes a 38-year-old man with massive gastrointestinal bleeding from jejunal varices. He had been previously diagnosed to have idiopathic portal hypertension and esophageal varices, and had undergone an esophageal transection 8 years earlier. The pre-operative diagnosis was a suspected hemorrhage from the small intestine as visualized by 99mTc-HSAD scintigraphy (technetium 99m-labeled human serum albumin D-type) and was not considered to be repeated massive lower GI tract bleeding. An exploratory laparotomy was performed, and intra-operative endoscopy revealed active bleeding from the jejunal varices. A partial resection of the small intestine resulted in a complete resolution of the bleeding. A review of the literature thereafter disclosed twelve previously reported cases of jejunal variceal bleeding.

Original languageEnglish
Pages (from-to)503-507
Number of pages5
JournalHepato-gastroenterology
Volume45
Issue number20
Publication statusPublished - Apr 27 1998

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Hemorrhage
Varicose Veins
Small Intestine
Lower Gastrointestinal Tract
Esophageal and Gastric Varices
Technetium
Serum Albumin
Radionuclide Imaging
Laparotomy
Endoscopy
Banti's syndrome

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

Cite this

Migou, S. I., Hashizume, M., Tsugawa, K., Kishihara, F., Kawanaka, H., Ohta, M., ... Sugimachi, K. (1998). Jejunal variceal bleeding after esophageal transection in a patient with idiopathic portal hypertension. Hepato-gastroenterology, 45(20), 503-507.

Jejunal variceal bleeding after esophageal transection in a patient with idiopathic portal hypertension. / Migou, Shin Ichiro; Hashizume, Makoto; Tsugawa, Kouji; Kishihara, Fumiaki; Kawanaka, Hirofumi; Ohta, Masayuki; Tanoue, Kazuo; Kuroiwa, Toshiro; Kawamoto, Kenji; Sugimachi, Keizo.

In: Hepato-gastroenterology, Vol. 45, No. 20, 27.04.1998, p. 503-507.

Research output: Contribution to journalArticle

Migou, SI, Hashizume, M, Tsugawa, K, Kishihara, F, Kawanaka, H, Ohta, M, Tanoue, K, Kuroiwa, T, Kawamoto, K & Sugimachi, K 1998, 'Jejunal variceal bleeding after esophageal transection in a patient with idiopathic portal hypertension', Hepato-gastroenterology, vol. 45, no. 20, pp. 503-507.
Migou SI, Hashizume M, Tsugawa K, Kishihara F, Kawanaka H, Ohta M et al. Jejunal variceal bleeding after esophageal transection in a patient with idiopathic portal hypertension. Hepato-gastroenterology. 1998 Apr 27;45(20):503-507.
Migou, Shin Ichiro ; Hashizume, Makoto ; Tsugawa, Kouji ; Kishihara, Fumiaki ; Kawanaka, Hirofumi ; Ohta, Masayuki ; Tanoue, Kazuo ; Kuroiwa, Toshiro ; Kawamoto, Kenji ; Sugimachi, Keizo. / Jejunal variceal bleeding after esophageal transection in a patient with idiopathic portal hypertension. In: Hepato-gastroenterology. 1998 ; Vol. 45, No. 20. pp. 503-507.
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