JaLCDOI 10.18926/AMO/31602
フルテキストURL fulltext.pdf
著者 Kakio, Takeshi| Ito, Toshio| Sue, Kunihiko| Sakaguchi, Kosaku| Shiota, Tetsuya| Oka, Takahiko| Kobayashi, Haruhiko| Sakai, Nobubyuki| Omoto, Masaki| Mikami, Masayuki| Nakanishi, Sousuke| Kawamoto, Hirohumi| Omori, Nobuhiko|
抄録 <p>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.</p>
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 8460553
Web of Science KeyUT A1993KP18500007