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Percutaneous trans-hepatic obliteration for bleeding esophagojejunal varices after total gastrectomy and esophagojejunostomy.
Cardiovasc Intervent Radiol. 2006 Nov-Dec; 29(6):1152-5.CI

Abstract

A 72-year-old man who had undergone a total gastrectomy with a Roux-en-Y esophagojejunostomy for gastric cancer 6 years earlier presented to our hospital with massive hematemesis and melena. Endoscopic examination indicated esophageal varices with cherry-red spots and hemorrhage arising from beyond the anastomosis. Abdominal contrast-enhanced computed tomography and angiography revealed a dilated vein in the elevated jejunal limb supplying the varices. Percutaneous trans-hepatic obliteration (PTO) of the varices through the jejunal vein was performed using microcoils, ethanolamine oleate, and gelatin sponge cubes. Ten days after the procedure, endoscopic examination revealed reduction and thrombosis of the varices. We consider PTO to be an effective alternative method for treating ruptured esophagojejunal varices after total gastrectomy.

Authors+Show Affiliations

Department of Radiology, Shinko-Kakogawa Steel Hospital, 797-295, Isshiki, Hiraoka-cho, Kakogawa, 675-0115, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16252081

Citation

Boku, Michiko, et al. "Percutaneous Trans-hepatic Obliteration for Bleeding Esophagojejunal Varices After Total Gastrectomy and Esophagojejunostomy." Cardiovascular and Interventional Radiology, vol. 29, no. 6, 2006, pp. 1152-5.
Boku M, Sugimoto K, Nakamura T, et al. Percutaneous trans-hepatic obliteration for bleeding esophagojejunal varices after total gastrectomy and esophagojejunostomy. Cardiovasc Intervent Radiol. 2006;29(6):1152-5.
Boku, M., Sugimoto, K., Nakamura, T., Kita, Y., Zamora, C. A., & Sugimura, K. (2006). Percutaneous trans-hepatic obliteration for bleeding esophagojejunal varices after total gastrectomy and esophagojejunostomy. Cardiovascular and Interventional Radiology, 29(6), 1152-5.
Boku M, et al. Percutaneous Trans-hepatic Obliteration for Bleeding Esophagojejunal Varices After Total Gastrectomy and Esophagojejunostomy. Cardiovasc Intervent Radiol. 2006 Nov-Dec;29(6):1152-5. PubMed PMID: 16252081.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Percutaneous trans-hepatic obliteration for bleeding esophagojejunal varices after total gastrectomy and esophagojejunostomy. AU - Boku,Michiko, AU - Sugimoto,Koji, AU - Nakamura,Tetsu, AU - Kita,Yasufumi, AU - Zamora,Carlos A, AU - Sugimura,Kazuro, PY - 2005/10/28/pubmed PY - 2007/6/20/medline PY - 2005/10/28/entrez SP - 1152 EP - 5 JF - Cardiovascular and interventional radiology JO - Cardiovasc Intervent Radiol VL - 29 IS - 6 N2 - A 72-year-old man who had undergone a total gastrectomy with a Roux-en-Y esophagojejunostomy for gastric cancer 6 years earlier presented to our hospital with massive hematemesis and melena. Endoscopic examination indicated esophageal varices with cherry-red spots and hemorrhage arising from beyond the anastomosis. Abdominal contrast-enhanced computed tomography and angiography revealed a dilated vein in the elevated jejunal limb supplying the varices. Percutaneous trans-hepatic obliteration (PTO) of the varices through the jejunal vein was performed using microcoils, ethanolamine oleate, and gelatin sponge cubes. Ten days after the procedure, endoscopic examination revealed reduction and thrombosis of the varices. We consider PTO to be an effective alternative method for treating ruptured esophagojejunal varices after total gastrectomy. SN - 0174-1551 UR - https://www.unboundmedicine.com/medline/citation/16252081/Percutaneous_trans_hepatic_obliteration_for_bleeding_esophagojejunal_varices_after_total_gastrectomy_and_esophagojejunostomy_ L2 - https://dx.doi.org/10.1007/s00270-004-0092-7 DB - PRIME DP - Unbound Medicine ER -