Plug-assisted retrograde transvenous obliteration via gastrocaval shunt for the gastric variceal bleeding
| Autor: | Jang, Joo Yeon, Jeon, Ung Bae, Kim, Jin Hyeok, Kim, Tae Un, Ryu, Hwaseong, Cho, Mong, Hong, Young Mi, Yoon, Ki Tae |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
plug-assisted retrograde transvenous obliteration
liver cirrhosis gastrocaval shunt Hematemesis Balloon Occlusion Middle Aged Esophageal and Gastric Varices Surgical Instruments Endoscopy Gastrointestinal gastric varix Treatment Outcome case report Humans Female Clinical Case Report Gastrointestinal Hemorrhage Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Rationale: Most gastric varices at the fundus drain into the left renal vein via the gastrorenal shunt (80–85% of cases) or the inferior vena cava via the gastrocaval shunt (10–15%). Therefore, plug-assisted retrograde transvenous obliteration (PARTO) is usually performed via a gastrorenal shunt. Here, we report a case of gastric varix treated with PARTO via a gastrocaval shunt. Patient concerns: A 46-year-old woman with hepatitis B virus and liver cirrhosis visited the emergency room in our hospital with the main symptom of hematemesis and hematochezia. Diagnoses: Endoscopy and computed tomography (CT) revealed a gastric varix and thrombotic-occluded transjugular intrahepatic portosystemic shunt (TIPS) stent. Interventions: The patient underwent PARTO via a gastrocaval shunt to manage gastric variceal bleeding after failed TIPS revision. Outcomes: On CT, the gastric varix completely disappeared. The patient did not experience any additional bleeding events. Lessons: PARTO via a gastrocaval shunt is safe and effective. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|