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Plug-assisted Retrograde Transvenous Obliteration-II for Gastric Varices: A Case Report.
Interv Radiol (Higashimatsuyama)
July 2023
Department of Radiology, Kobe University, Graduate School of Medicine, Japan.
We present a case of gastric varices successfully treated with modified plug-assisted retrograde transvenous obliteration. A 45-year-old male patient had isolated fundal gastric varices caused by alcoholic cirrhosis. Contrast-enhanced computed tomography showed that the gastric varices were drained mainly via the gastro-renal shunt.
View Article and Find Full Text PDF[Gastric varices treated by balloon-occluded retrograde transvenous obliteration following oxaliplatin-based chemotherapy for gastric cancer].
Nihon Shokakibyo Gakkai Zasshi
May 2023
Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine.
A 78-year-old female patient with stomach cancer (with hepatic metastasis and peritoneal dissemination) had received eight courses of an S-1 and oxaliplatin regimen as palliative chemotherapy. Computed tomography revealed liver deformities and incidental gastric varices. Esophagogastroduodenoscopy confirmed the findings of gastric varices in the cardia and fornix.
View Article and Find Full Text PDFEmergent Management of Gastric Variceal Bleed in the Setting of Acute Pancreatitis-Related Sinistral Hypertension With Partial Splenic Embolization: A Series of Two Cases.
Cureus
September 2022
Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, IND.
Sinistral portal hypertension in the setting of acute pancreatitis is a known complication owing to splenic vein thrombosis. It can lead to upper gastrointestinal bleeding due to the development of fundal gastric varices due to the shunting of blood via short gastric veins. However, in the setting of acute pancreatitis, surgical procedures can have high post-operative morbidity.
View Article and Find Full Text PDFPortal hypertension in prolonged anorexia nervosa with laxative abuse: A case report of three patients.
Int J Eat Disord
February 2019
Department of Psychosomatic Medicine, Kohnodai Hospital, National Center for Global Health Medicine, Ichikawa City, Chiba, Japan.
Objective: There has been no report on portal hypertension related to anorexia nervosa (AN).
Method: We describe three cases of portal hypertension manifesting with collateral circulation represented by gastroesophageal varices in prolonged AN with laxative abuse and self-vomiting. These women, in their 20s to 50s, were diagnosed as having AN binging and purging type (AN-BP) that included self-induced vomiting and abuse of irritating laxatives (more than 100 tablets daily).
[Fundal variceal bleeding treated with balloon occluded endoscopic inyection sclerotherapy. Report of two cases].
Rev Med Chil
October 2017
Sección de Gastroenterología, Hospital Clínico, Universidad de Chile, Santiago, Chile.
Management of gastrointestinal bleeding caused by fundal varices is particularly difficult to manage. The options are: transjugular intrahepatic portosystemic shunt (TIPS), endoscopic injection of cyanoacrylate or balloon-occluded retrograde transvenous obliteration (BRTO). We report a 63 year-old male with a cirrhosis caused by hepatitis C and a 66 year-old female with a cirrhosis caused by a non-alcoholic steatohepatitis.
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