SUCCESSFUL THERAPY OF BLEEDING DUODENAL VARICES BY TIPS AFTER FAILUREOF SCLEROTHERAPY

Hemorrhage from duodenal varices may be severe and life threatening. W e report a patient with portal hypertension and bleeding duodenal vari ces caused by cirrhosis oi the liver. Endoscopic sclerotherapy and int ravenous vasopressin failed to control bleeding in this patient, Hemor rhage was subsequently controlled by placement of a transjugular intra hepatic portosystemic shunt. We recommend that in patients with life-t hreatening hemorrhage from duodenal varices caused by cirrhosis of the liver, transjugular intrahepatic portosystemic shunt be considered in the management. (C) 1998 by Am. Coll. of Gastroenterology.