{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:21:05Z","timestamp":1792290065895,"version":"4.4.0"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T00:00:00Z","timestamp":1670803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JGH Open"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Duodenal varices (DVs) are ectopic gastrointestinal varices (ECVs) associated with portal hypertension (PH). We present the case of an 82\u2010year\u2010old woman who presented with symptomatic anemia secondary to DV hemorrhage diagnosed on oesophagogastroduodenoscopy. This lesion was treated with endoscopic adrenaline injection and clip application. The patient re\u2010presented on multiple occasions with bleeding recurrence localized to the duodenum, which was managed with intramuscular octreotide and oral beta\u2010blockade resulting in sustained remission of bleeding. This case highlights a rare cause of upper gastrointestinal hemorrhage and highlights the value of somatostatin analogues for conservative treatment of DVs.<\/jats:p>","DOI":"10.1002\/jgh3.12847","type":"journal-article","created":{"date-parts":[[2022,12,13]],"date-time":"2022-12-13T07:40:23Z","timestamp":1670917223000},"page":"78-80","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["An obscure cause of gastrointestinal bleeding: Recurrent duodenal variceal hemorrhage treated with intramuscular octreotide in the absence of portal hypertension"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9576-2248","authenticated-orcid":false,"given":"Robert S","family":"O'Neill","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Campbelltown Hospital Campbelltown New South Wales Australia"},{"name":"St Vincent's Clinical School, Faculty of Medicine University of New South Wales Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Campbelltown Hospital Campbelltown New South Wales Australia"},{"name":"Western Sydney University Campbelltown New South Wales Australia"},{"name":"Townsville University Hospital Douglas Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Campbelltown Hospital Campbelltown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Campbelltown Hospital Campbelltown New South Wales Australia"},{"name":"Western Sydney University Campbelltown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Verdon","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Campbelltown Hospital Campbelltown New South Wales Australia"},{"name":"Western Sydney University Campbelltown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Campbelltown Hospital Campbelltown New South Wales Australia"},{"name":"Western Sydney University Campbelltown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Acharya","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Campbelltown Hospital Campbelltown New South Wales Australia"},{"name":"Western Sydney University Campbelltown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,12]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.510280434"},{"key":"e_1_2_4_3_1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.4103\/sjg.SJG_50_20","article-title":"Clinical characteristics and efficacy of endoscopic treatment of gastrointestinal ectopic varices: a single\u2010center study","volume":"27","author":"Yipeng W","year":"2021","journal-title":"Saudi J. 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