A case of liver cirrhosis with bleeding from stomal varices successfully treated using balloon-occluded retrograde transvenous obliteration
| Autor: | Kayoko Sugawara, Satoshi Mochida, Nobuaki Nakayama, Masashi Takano, Manabu Nakazawa, Yukinori Imai, Taku Chikayama, Satsuki Ando |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Femoral vein Esophageal and Gastric Varices 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Liver Cirrhosis Alcoholic Colostomy medicine Humans Superficial epigastric vein Vein Aged Rectal Neoplasms business.industry Gastroenterology Surgical Stomas General Medicine Balloon Occlusion medicine.disease Thrombosis Catheter medicine.anatomical_structure Inferior mesenteric vein 030211 gastroenterology & hepatology Radiology Gastrointestinal Hemorrhage Tomography X-Ray Computed business Epigastric Vein |
| Zdroj: | Clinical Journal of Gastroenterology. 9:145-149 |
| ISSN: | 1865-7265 1865-7257 |
| DOI: | 10.1007/s12328-016-0644-9 |
| Popis: | A 66-year-old male patient with liver cirrhosis because of alcohol intake underwent a Hartmann's procedure for rectal cancer. Four months later, bleeding from the sigmoid stoma occurred and persisted for 2 months. A colonoscopic examination revealed bleeding from stomal varices. Three-dimensional computed tomography (CT) imaging demonstrated the inferior mesenteric vein and left superficial epigastric vein as the feeding and drainage vessels, respectively. Balloon-occluded retrograde transvenous obliteration (B-RTO) through the left epigastric vein was performed using a microballoon catheter inserted from the right femoral vein according to the Seldinger method. A CT examination performed 2 days after the B-RTO procedure revealed that the blood flow had disappeared, with thrombosis formation in both the stomal varices and the feeding vein. No recurrent bleeding from the stoma occurred. B-RTO using a microballoon catheter is useful as a therapeutic procedure for stomal varices to prevent bleeding, since the procedure can be performed with minimal invasion using the Seldinger method. |
| Databáze: | OpenAIRE |
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