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ID 31602
JaLCDOI
フルテキストURL
著者
Kakio, Takeshi Okayama University
Ito, Toshio Okayama University
Sue, Kunihiko Okayama Univeristy
Sakaguchi, Kosaku Okayama University
Shiota, Tetsuya Okayama University
Oka, Takahiko Okayama University
Kobayashi, Haruhiko Okayama University
Sakai, Nobubyuki Okayama University
Omoto, Masaki Okayama University
Mikami, Masayuki Okayama University
Nakanishi, Sousuke Okayama University
Kawamoto, Hirohumi Okayama University
Omori, Nobuhiko Okayama University
抄録

Obliteration for gastric or duodenal variceal hemorrhage was performed via transileocoecal or transhepatic portal catheterization in 8 patients with portal hypertension. The patients were 6 men and 2 women, whose average age was 59 years. All of the patients had cirrhosis of the liver. The obliteration was performed as an emergency procedure in 6 cases, and 2 patients were electively treated. Transileocoecal obliteration (TIO) and transhepatic obliteration (PTO) were selected for 6, and 2 patients, respectively. Variceal bleeding was successfully controlled in all patients after completion of the therapy. One patient died after 3 months when duodenal variceal bleeding recurred. Elective surgical operations were performed on 2 patients after the initial therapy, because the vein feeding toward the varices remained. Six of the patients have survived to date without bleeding. Transient oliguria and jaundice after the therapy were noticed in 2 patients. Histological examination revealed cast formation of polymerized cyanoacrylate in the obliterated gastric varices of 2 patients. TIO and PTO seem to be safe, effective procedures to stop bleeding from ectopic varices, gastric or duodenal. This therapy is useful either to obtain accurate information about the varices or to obliterate the collateral veins in patients with ruptured ectopic varices.

キーワード
cardial varices
duodenal varices
portal hypertension
variceal obliteration
cyanoacrylate
Amo Type
Article
発行日
1993-02
出版物タイトル
Acta Medica Okayama
47巻
1号
出版者
Okayama University Medical School
開始ページ
39
終了ページ
43
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Science KeyUT