Successful treatment of a bleeding duodenal varix by endoscopic band ligation

Introduction: Bleeding from duodenal varices is a rare complication of portal hypertension. Most patients with duodenal varices have extrahepatic portal hypertension. Due to the limited number of cases, different treatment modalities for duodenal varices have not been compared in randomized controlled trials and most of our current knowledge is obtained from case reports and small case series. So far, endoscopic therapy (sclerotherapy, band ligation, mini-loop ligation), radiological techniques (percutaneous transcatheter embolisation, TIPS-implantation) and surgical procedures have been used. Compared to other…