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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Apr 21, 2009; 15(15): 1904-1905
Published online Apr 21, 2009. doi: 10.3748/wjg.15.1904
Published online Apr 21, 2009. doi: 10.3748/wjg.15.1904
Variceal bleeding from ileum identified and treated by single balloon enteroscopy
Mario Traina, Ilaria Tarantino, Luca Barresi, Gastroenterology Department, ISMETT/UPMC, Palermo 90100, Italy
Filippo Mocciaro, Department of Internal Medicine, O.V.Cervello, Palermo 90100, Italy
Author contributions: Mocciaro F and Tarantino I wrote the paper; Traina M and Barresi L approved the final document.
Correspondence to: Ilaria Tarantino, Professor, Istituto Mediterraneo Trapianti e Terapie ad Alta Specializzazione (ISMETT), via tricomi 1, 90129, Italy. itarantino@ismett.edu
Telephone: +39-91-2192111
Fax: +39-91-2192192-400
Received: December 4, 2008
Revised: February 20, 2009
Accepted: February 27, 2009
Published online: April 21, 2009
Revised: February 20, 2009
Accepted: February 27, 2009
Published online: April 21, 2009
Abstract
We report a case of acute uncontrolled gastrointestinal bleeding in a patient with liver cirrhosis. The upper and lower endoscopy were negative for bleeding lesions. We decided to perform the examination of the small bowel using single-balloon enteroscopy. The lower enteroscopy revealed signs of bleeding from varices of the ileum. In this report, we showed that the injection of a sclerosant solution can be accomplished using a freehand technique via the single balloon enteroscopy.