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Splenic artery embolization for variceal hemorrhage following blocked distal splenorenal shunt.
Hepatogastroenterology. 2003 Jul-Aug; 50(52):1167-8.H

Abstract

A blocked distal splenorenal shunt presents with torrential bleeding from gastric varices. Reoperation in the presence of portal hypertension in an unstable patient is difficult. Two patients with a blocked distal splenorenal shunt were subjected to splenic artery embolization. This stopped variceal bleeding from gastric varices resulting from the congested spleen due to thrombosis of the splenic vein. The procedure was successful in stopping the acute bleed in both patients. There were no serious complications or recurrent variceal bleeding and the varices were collapsed at one year on follow-up endoscopy. Splenic artery embolization is a safe and effective minimally invasive treatment for patients with bleeding from a blocked distal splenorenal shunt.

Authors+Show Affiliations

Gastroenterology Surgical Services, King Edward VII Memorial Hospital, Bombay 400 012, India. shahsudeep@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12846006

Citation

Shah, Sudeep R., et al. "Splenic Artery Embolization for Variceal Hemorrhage Following Blocked Distal Splenorenal Shunt." Hepato-gastroenterology, vol. 50, no. 52, 2003, pp. 1167-8.
Shah SR, Pramesh CS, Deshmukh HL, et al. Splenic artery embolization for variceal hemorrhage following blocked distal splenorenal shunt. Hepatogastroenterology. 2003;50(52):1167-8.
Shah, S. R., Pramesh, C. S., Deshmukh, H. L., & Mathur, S. K. (2003). Splenic artery embolization for variceal hemorrhage following blocked distal splenorenal shunt. Hepato-gastroenterology, 50(52), 1167-8.
Shah SR, et al. Splenic Artery Embolization for Variceal Hemorrhage Following Blocked Distal Splenorenal Shunt. Hepatogastroenterology. 2003 Jul-Aug;50(52):1167-8. PubMed PMID: 12846006.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Splenic artery embolization for variceal hemorrhage following blocked distal splenorenal shunt. AU - Shah,Sudeep R, AU - Pramesh,C S, AU - Deshmukh,Hemant L, AU - Mathur,S K, PY - 2003/7/9/pubmed PY - 2003/10/9/medline PY - 2003/7/9/entrez SP - 1167 EP - 8 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 50 IS - 52 N2 - A blocked distal splenorenal shunt presents with torrential bleeding from gastric varices. Reoperation in the presence of portal hypertension in an unstable patient is difficult. Two patients with a blocked distal splenorenal shunt were subjected to splenic artery embolization. This stopped variceal bleeding from gastric varices resulting from the congested spleen due to thrombosis of the splenic vein. The procedure was successful in stopping the acute bleed in both patients. There were no serious complications or recurrent variceal bleeding and the varices were collapsed at one year on follow-up endoscopy. Splenic artery embolization is a safe and effective minimally invasive treatment for patients with bleeding from a blocked distal splenorenal shunt. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/12846006/Splenic_artery_embolization_for_variceal_hemorrhage_following_blocked_distal_splenorenal_shunt_ L2 - https://medlineplus.gov/gastrointestinalbleeding.html DB - PRIME DP - Unbound Medicine ER -