Overt Mid-Gut Bleeding From Anastomotic Varices: Successful Management With Double-Balloon Enteroscopy Facilitated Cyanoacrylate-Injection Endotherapy (With Video)

A 65-year-old man with a metastatic mid-gut neuroendocrine tumour warranting extensive small-bowel resection presented with life-threatening mid-gut bleeding. A CT enterography (CTE) demonstrated jejunal anastomotic varices, with superior mesenteric vein thrombosis. Without a radiological option for treatment, anterograde double-balloon enteroscopy (DBE) was planned to facilitate cyanoacrylate-injection endotherapy...