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A Case of Hemophilia B with Esophageal Varices Treated by Sclerotherapy with Factor‐IX Complex
Author(s) -
KAYASHIMA Shinsuke,
MURASHIMA Naoya,
TAKEI Kazuo,
NAKAYAMA Satoshi,
MATSUOKA Masaki,
YOSHIDA Yukiya,
HAYAKAWA Kazuo,
FUKUCHI Sohtarou,
FUJIOKA Takahiro,
OHBA Kenichi
Publication year - 1999
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1999.tb00020.x
Subject(s) - medicine , sclerotherapy , esophageal varices , gastroenterology , varices , gastric varices , endoscopic ultrasonography , factor ix , surgery , portal hypertension , endoscopy , cirrhosis
A 64‐year‐old man with hemophilia B and HCV‐positive chronic hepatitis who had been followed at our hospital presented with hematemesis. Gastrointestinal fiber‐scopy (GIF) demonstrated a small active gastric ulcer (Az stage) at the pyloric ring and esophageal varices (F 1 L m C w RC (+) ). He was admitted and the esophageal varices were safely and successfully treated by sclerotheapy. Sclerotherapy was performed by in‐traluminal injection of 4 mL 5% ethanolamine oleate with sufficient supplementation of factor‐lX complex (PPSB ‐HT) for four days to a total amount of 24,000 U. The patient was followed with GIF and endoscopic ultrasonography. Sclerotherapy proved effective after six months. We report a rare case of hemophilia B with esophageal varices successfully treated by sclerotherapy.