Journal article
A novel approach to stabilization of bleeding gastroesophageal varices in infants
JPGN reports, Vol.6(2), pp.209-212
05/2025
DOI: 10.1002/jpr3.70018
PMCID: PMC12078041
PMID: 40386327
Appears in UI Libraries Support Open Access
Abstract
Gastroesophageal variceal bleeding is the most serious complication of portal hypertension. The interventions available including sclerotherapy, variceal banding, and balloon tamponade, are limited by patient age. A 4‐month‐old with congenital cytomegalovirus, cholestasis, splenomegaly presented to the emergency room after two episodes of hematemesis. The patient required a transfusion of packed red blood cells for anemia. Upper endoscopy revealed no active bleeding, four grade 3 esophageal varices with red wale signs, and a single gastric varix. Sclerotherapy into high‐risk varices was completed. Forty‐eight hours later, patient developed re‐bleeding. Upper endoscopy revealed bright red blood in the stomach. A large clot at the gastroesophageal junction was attributed to the gastric varix. Given the age of the patient and small size, endoscopic bleeding control interventions were limited. A foley catheter was placed in an orogastric manner for balloon tamponade. The intervention was a temporizing measure to allow for transfer to a liver transplant center.
Details
- Title: Subtitle
- A novel approach to stabilization of bleeding gastroesophageal varices in infants
- Creators
- Sussette G. Szachowicz - University of IowaElyse Kerian - University of IowaCatherine DeGeeter - University of IowaRiad Rahhal - University of Iowa
- Resource Type
- Journal article
- Publication Details
- JPGN reports, Vol.6(2), pp.209-212
- DOI
- 10.1002/jpr3.70018
- PMID
- 40386327
- PMCID
- PMC12078041
- NLM abbreviation
- JPGN Rep
- ISSN
- 2691-171X
- eISSN
- 2691-171X
- Publisher
- Wiley
- Language
- English
- Electronic publication date
- 03/24/2025
- Date published
- 05/2025
- Academic Unit
- Stead Family Department of Pediatrics; Gastroenterology, Hepatology, Pancreatology, and Nutrition
- Record Identifier
- 9984802103502771
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