A case of successful treatment with repeated segmental embolization for downhill esophageal varices caused by giant goiter.

Autor: Watanuki Y; Department of Endocrinology and Metabolism, Hirosaki University Graduate School of Medicine, Japan., Kageyama K; Department of Endocrinology and Metabolism, Hirosaki University Graduate School of Medicine, Japan., Kakehata S; Department of Radiology and Radiation Oncology, Hirosaki University Graduate School of Medicine, Japan., Murasawa S; Department of Endocrinology and Metabolism, Hirosaki University Graduate School of Medicine, Japan., Nakada Y; Department of Endocrinology and Metabolism, Hirosaki University Graduate School of Medicine, Japan., Takayasu S; Department of Endocrinology and Metabolism, Hirosaki University Graduate School of Medicine, Japan., Sawaya M; Department of Gastroenterology, Hematology and Clinical immunology, Hirosaki University Graduate School of Medicine, Japan., Fujita Y; Department of Endocrinology and Metabolism, Hirosaki University Graduate School of Medicine, Japan., Daimon M; Department of Endocrinology and Metabolism, Hirosaki University Graduate School of Medicine, Japan.
Jazyk: angličtina
Zdroj: Internal medicine (Tokyo, Japan) [Intern Med] 2024 Aug 10. Date of Electronic Publication: 2024 Aug 10.
DOI: 10.2169/internalmedicine.3730-24
Abstrakt: Downhill esophageal varices often develop because of venous hypertension caused by either superior vena cava obstruction or compression. We herein present a case of downhill esophageal varices caused by a giant goiter in a patient with postoperative Graves' disease. A 66-year-old man presented with an enlarged goiter. Gastrointestinal endoscopy revealed upper esophageal varices. This patient was successfully treated with repeated segmental embolization of the thyroid arteries that fed the goiter, followed by embolization of the inflow vein for downhill esophageal varices. Three years later, no re-enlargement of either the goiter or the appearance of downhill varices was observed. Segmental embolization therapy is thus considered to be a safe alternative for the treatment of downhill esophageal varices caused by giant goiter.
Databáze: MEDLINE
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