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[Treatment of esophageal varicose bleeding by percutaneous transhepatic varices obliteration and partial spleen embolization].
Zhonghua Gan Zang Bing Za Zhi. 2007 Oct; 15(10):742-5.ZG

Abstract

OBJECTIVE

To study the clinical efficacy of TH glue (cyanoacrylate) obliteration of esophageal varices and partial spleen embolization (PSE) in the treatment of esophageal varices bleeding.

METHODS

TH glue was injected into the gastroesophageal varices and their feeder veins in 84 patients. According to the size of the varices and their blood flow, the TH glue was injected alone or after a steel coil was placed at the ostium of the feeder vein. Sometimes absolute alcohol was also injected into the varices. PSE was performed after the TH glue obliteration in all patients.

RESULTS

(1) The TH glue obliteration was performed on 81 patients with a success rate of 96.4%. Three patients died from the procedure. (2) The left gastric vein coronary, gastric varices, pericardial varices, and lower esophageal veins were obliterated in 38 patients (group 1). Left gastric vein, gastric varices, and pericardial veins were obliterated in 31 patients (group 2). Only the main gastric coronary vein was obliterated in 9 patients (group 3). The disappearance rate of the esophageal varices was 71.1% (27/38), 35.5% (11/31) and 0% (0/9) in the three groups. (3) During a follow-up of 6-49 months, rebleeding occurred in 13 of all 78 (16.7%) patients, and it was 7.9% (3/38), 12.9% (4/31) and 66.7% (6/9) respectively in the three groups.

CONCLUSION

Our results suggest percutaneous transhepatic TH glue obliteration of esophageal varices and PSE are safe and effective in treating gastroesophageal varicose bleeding.

Authors+Show Affiliations

Department of Gastroenterology, Shandong Provincial Hospital, Jinan 250021, China. zhchqing@medmail.com.cnNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't

Language

chi

PubMed ID

17963599

Citation

Zhang, Chun-qing, et al. "[Treatment of Esophageal Varicose Bleeding By Percutaneous Transhepatic Varices Obliteration and Partial Spleen Embolization]." Zhonghua Gan Zang Bing Za Zhi = Zhonghua Ganzangbing Zazhi = Chinese Journal of Hepatology, vol. 15, no. 10, 2007, pp. 742-5.
Zhang CQ, Liu FL, Xu HW, et al. [Treatment of esophageal varicose bleeding by percutaneous transhepatic varices obliteration and partial spleen embolization]. Zhonghua Gan Zang Bing Za Zhi. 2007;15(10):742-5.
Zhang, C. Q., Liu, F. L., Xu, H. W., Feng, K., Xu, L., Zhu, Y. H., Zhang, J. Y., & Zhu, Q. (2007). [Treatment of esophageal varicose bleeding by percutaneous transhepatic varices obliteration and partial spleen embolization]. Zhonghua Gan Zang Bing Za Zhi = Zhonghua Ganzangbing Zazhi = Chinese Journal of Hepatology, 15(10), 742-5.
Zhang CQ, et al. [Treatment of Esophageal Varicose Bleeding By Percutaneous Transhepatic Varices Obliteration and Partial Spleen Embolization]. Zhonghua Gan Zang Bing Za Zhi. 2007;15(10):742-5. PubMed PMID: 17963599.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Treatment of esophageal varicose bleeding by percutaneous transhepatic varices obliteration and partial spleen embolization]. AU - Zhang,Chun-qing, AU - Liu,Fu-li, AU - Xu,Hong-wei, AU - Feng,Kai, AU - Xu,Lin, AU - Zhu,Yu-hua, AU - Zhang,Jun-yong, AU - Zhu,Qiang, PY - 2007/10/30/pubmed PY - 2010/7/9/medline PY - 2007/10/30/entrez SP - 742 EP - 5 JF - Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology JO - Zhonghua Gan Zang Bing Za Zhi VL - 15 IS - 10 N2 - OBJECTIVE: To study the clinical efficacy of TH glue (cyanoacrylate) obliteration of esophageal varices and partial spleen embolization (PSE) in the treatment of esophageal varices bleeding. METHODS: TH glue was injected into the gastroesophageal varices and their feeder veins in 84 patients. According to the size of the varices and their blood flow, the TH glue was injected alone or after a steel coil was placed at the ostium of the feeder vein. Sometimes absolute alcohol was also injected into the varices. PSE was performed after the TH glue obliteration in all patients. RESULTS: (1) The TH glue obliteration was performed on 81 patients with a success rate of 96.4%. Three patients died from the procedure. (2) The left gastric vein coronary, gastric varices, pericardial varices, and lower esophageal veins were obliterated in 38 patients (group 1). Left gastric vein, gastric varices, and pericardial veins were obliterated in 31 patients (group 2). Only the main gastric coronary vein was obliterated in 9 patients (group 3). The disappearance rate of the esophageal varices was 71.1% (27/38), 35.5% (11/31) and 0% (0/9) in the three groups. (3) During a follow-up of 6-49 months, rebleeding occurred in 13 of all 78 (16.7%) patients, and it was 7.9% (3/38), 12.9% (4/31) and 66.7% (6/9) respectively in the three groups. CONCLUSION: Our results suggest percutaneous transhepatic TH glue obliteration of esophageal varices and PSE are safe and effective in treating gastroesophageal varicose bleeding. SN - 1007-3418 UR - https://www.unboundmedicine.com/medline/citation/17963599/[Treatment_of_esophageal_varicose_bleeding_by_percutaneous_transhepatic_varices_obliteration_and_partial_spleen_embolization]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&issn=1007-3418&year=2007&vol=15&issue=10&fpage=742 DB - PRIME DP - Unbound Medicine ER -