title: Identification of Perforators in Patients with Duodenal Varices by Endoscopic Ultrasound-A Case Series [with video].
abstract: OBJECTIVE
  Duodenal varices (DV) are ectopic varices which can cause massive gastrointestinal bleeding. The diagnosis of DV may be difficult; sometimes they can be hidden behind duodenal folds. The aim of the study was to evaluate DV by endoscopic ultrasound.
  
  
  METHODS
  Endoscopic ultrasound was done in patients detected or suspected to be having DV. The para duodenal varices were identified and subsequently hemodynamic evaluation of DV was done.
  
  
  RESULTS
  Endoscopic ultrasound identified perforators in seven cases of DV.
  
  
  CONCLUSIONS
  The endoscopic ultrasound can help in detection of DV underlying thickened folds. It can also help in hemodynamic evaluation of DV.
authors.affiliation: Jaswant Rai Speciality Hospital, Saket, Meerut 250 001, Uttar Pradesh, India.
authors.forename: Malay
authors.initials: M
authors.lastname: Sharma
authors.affiliation: Department of Gastroenterology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.
authors.forename: Pazhanivel
authors.initials: P
authors.lastname: Mohan
authors.affiliation: L.L.R.M., Medical College, Meerut, Uttar Pradesh, India.
authors.forename: Chittapuram S
authors.initials: CS
authors.lastname: Rameshbabu
authors.affiliation: Stanley Medical College Hospital, Chennai, Tamil Nadu, India.
authors.forename: Venkataraman
authors.initials: V
authors.lastname: Jayanthi
keywords: CBD, common bile duct; DV, duodenal varices; ECD, epicholedochal; EHPVO, extra hepatic portal vein obstruction; EUS, Endoscopic ultrasound; EVL, endoscopic variceal ligation; HDA, hemodynamic assessment; IVC, inferior vena cava; PCD, para-choledochal; PDV, paraduodenal varices; PV, portal vein; SMV, superior mesenteric vein; duodenal varices; endoscopic ultrasound; endoscopic variceal ligation; portal hypertension