| Autor: |
Watanabe Y; Department of Gastroenterology and Hepatology, Niigata City General Hospital, Japan.; Division of Preemptive Medicine for Digestive Disease and Healthy Active Life, School of Medicine, Niigata University, Japan.; Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan., Osaki A; Department of Gastroenterology and Hepatology, Niigata City General Hospital, Japan., Yamazaki S; Department of Gastroenterology and Hepatology, Niigata City General Hospital, Japan., Yokoyama H; Department of Gastroenterology and Hepatology, Niigata City General Hospital, Japan., Takaku K; Department of Gastroenterology and Hepatology, Niigata City General Hospital, Japan., Sato M; Department of Gastroenterology and Hepatology, Niigata City General Hospital, Japan., Sato D; Department of Surgery, Niigata City General Hospital, Japan., Yokoyama N; Department of Surgery, Niigata City General Hospital, Japan., Waguri N; Department of Gastroenterology and Hepatology, Niigata City General Hospital, Japan., Terai S; Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan. |
| Abstrakt: |
Left-sided portal hypertension (LSPH) is a condition of extrahepatic portal hypertension that often results in bleeding from isolated gastric varices (GVs). LSPH is sometimes caused by myeloproliferative diseases, such as essential thrombocythemia (ET). We herein report two cases of GVs with LSPH due to ET that were successfully controlled by gastric devascularization (GDS) or partial splenic embolization (PSE). Since each patient with LSPH due to ET has a different pathology, optimal treatment should be performed depending on the patient's condition, such as platelet counts, hemodynamics, or the prognosis. We believe that these cases will serve as a reference for future cases. |
