Successful obliteration of bleeding duodenal varices by EUS-guided injection of N-butyl- 2-cyanoacrylate  Gen Kimura, MD, Yusuke Hashimoto, MD, Masafumi.

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Successful obliteration of bleeding duodenal varices by EUS-guided injection of N-butyl- 2-cyanoacrylate  Gen Kimura, MD, Yusuke Hashimoto, MD, Masafumi Ikeda, MD  VideoGIE  Volume 2, Issue 11, Pages 317-319 (November 2017) DOI: 10.1016/j.vgie.2017.08.001 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, B, CT scans showing contrast enhancement in the varices. VideoGIE 2017 2, 317-319DOI: (10.1016/j.vgie.2017.08.001) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Endoscopic view showing a white plug on 1 of the varices. VideoGIE 2017 2, 317-319DOI: (10.1016/j.vgie.2017.08.001) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Banding was performed on the varix. VideoGIE 2017 2, 317-319DOI: (10.1016/j.vgie.2017.08.001) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 EUS view showing duodenal varices around the self-expanding metal stent. VideoGIE 2017 2, 317-319DOI: (10.1016/j.vgie.2017.08.001) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 22G EUS-FNA needle punctured into the varices. VideoGIE 2017 2, 317-319DOI: (10.1016/j.vgie.2017.08.001) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 A, B, CT scans showing loss of contrast enhancement of the varices. VideoGIE 2017 2, 317-319DOI: (10.1016/j.vgie.2017.08.001) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 7 Endoscopic view showing discharge of injected cyanoacrylate resulting from complete obliteration of the varices. VideoGIE 2017 2, 317-319DOI: (10.1016/j.vgie.2017.08.001) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions