title: Endoscopic treatment of duodenal varices with cyanoacrylate.
abstract: BACKGROUND
  the duodenum is the most common location for ectopic varices. Bleeding is rare, but when it appears, it is massive and difficult to control.
  
  
  METHODS
  retrospective description of five clinical cases of digestive bleeding secondary to duodenal varices that we observed between the years 2011 and 2012, together with their clinical characteristics, endoscopic diagnosis, endoscopic treatment with cyanoacrylate injection and the posterior follow-up and assessment of new bleeding.
  
  
  RESULTS
  all five patients were treated with an endoscopic cyanoacrylate injection and two of the patients experienced a digestive rebleeding. Three of the patients died during the follow-up period, only one due to cause digestive bleeding.
  
  
  CONCLUSIONS
  in conclusion we can state that endoscopic treatment of duodenal varices with cyanoacrylate is technically possible, and it permits us to control the first bleeding before doing other definitive treatments, if the patient condition allows it.
authors.forename: Ana
authors.initials: A
authors.lastname: Mora-Soler
authors.forename: Antonio
authors.initials: A
authors.lastname: Velasco-Guardado
authors.forename: Rosa
authors.initials: R
authors.lastname: Acosta-Materán
authors.forename: Josué
authors.initials: J
authors.lastname: Umaña-Mejía
authors.forename: Yuliana
authors.initials: Y
authors.lastname: Jamanca-Poma
authors.forename: Renzo
authors.initials: R
authors.lastname: Calderón-Begazo
authors.forename: Jesús
authors.initials: J
authors.lastname: Legido-Gil
authors.forename: Alberto
authors.initials: A
authors.lastname: Álvarez-Delgado
authors.forename: Antonio
authors.initials: A
authors.lastname: Rodríguez-Pérez
mesh_terms: D000368:Aged; D003487:Cyanoacrylates / Q000627:therapeutic use*; D004384:Duodenoscopy; D004386:Duodenum / Q000098:blood supply*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014648:Varicose Veins / Q000628:therapy*
chemical_list: D003487:Cyanoacrylates