Document Detail


Percutaneous trans-hepatic obliteration for bleeding esophagojejunal varices after total gastrectomy and esophagojejunostomy.
MedLine Citation:
PMID:  16252081     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 72-year-old man who had undergone a total gastrectomy with a Roux-en-Y esophagojejunostomy for gastric cancer 6 years earlier presented to our hospital with massive hematemesis and melena. Endoscopic examination indicated esophageal varices with cherry-red spots and hemorrhage arising from beyond the anastomosis. Abdominal contrast-enhanced computed tomography and angiography revealed a dilated vein in the elevated jejunal limb supplying the varices. Percutaneous trans-hepatic obliteration (PTO) of the varices through the jejunal vein was performed using microcoils, ethanolamine oleate, and gelatin sponge cubes. Ten days after the procedure, endoscopic examination revealed reduction and thrombosis of the varices. We consider PTO to be an effective alternative method for treating ruptured esophagojejunal varices after total gastrectomy.
Authors:
Michiko Boku; Koji Sugimoto; Tetsu Nakamura; Yasufumi Kita; Carlos A Zamora; Kazuro Sugimura
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  29     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2006 Nov-Dec
Date Detail:
Created Date:  2006-10-30     Completed Date:  2007-06-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1152-5     Citation Subset:  IM    
Affiliation:
Department of Radiology, Shinko-Kakogawa Steel Hospital, 797-295, Isshiki, Hiraoka-cho, Kakogawa, 675-0115, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anastomosis, Roux-en-Y / adverse effects
Balloon Occlusion
Digestive System Surgical Procedures / adverse effects*
Esophageal and Gastric Varices / complications,  etiology*,  therapy
Esophagectomy / adverse effects
Gastrectomy / adverse effects
Gastrointestinal Hemorrhage / etiology*,  therapy
Humans
Jejunostomy / adverse effects
Jejunum / blood supply*,  surgery
Liver / blood supply*,  surgery*
Male
Mesenteric Veins / surgery
Portal Vein / surgery
Reoperation
Splenic Vein / surgery
Stomach Neoplasms / surgery
Varicose Veins / etiology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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