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Percutaneous transhepatic obliteration of gastro-oesophageal varices.
Lancet. 1976 Jul 10; 2(7976):53-5.Lct

Abstract

Percutaneous transhepatic portal-vein catheterisation was attempted to obliterate the major variceal venous supply in 13 decompensated cirrhotic patients, who continued to bleed after conservative therapy. Obliteration was achieved and bleeding stopped in 7 patients. In 5 patients obliteration was technically unsuccessful. The remaining patient had an unsuspected portal-vein block diagnosed by the transhepatic technique. 1 patient with successfully obliterated varices died after a haemothorax and haemorperitoneum developed. Follow-up splenic venography at three to six months in the 6 successfully thrombosed patients showed that 4 had persistent obliteration and had not re-bled. 2 patients re-bled from incompletely obliterated varices. It is concluded that selective obliteration of the major variceal supply is effective in stopping acute gastro-oesophageal variceal bleeding, but that greater experience is necessary before the long-term effectiveness of the procedure can be determined.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

59145

Citation

Scott, J, et al. "Percutaneous Transhepatic Obliteration of Gastro-oesophageal Varices." Lancet (London, England), vol. 2, no. 7976, 1976, pp. 53-5.
Scott J, Dick R, Long RG, et al. Percutaneous transhepatic obliteration of gastro-oesophageal varices. Lancet. 1976;2(7976):53-5.
Scott, J., Dick, R., Long, R. G., & Sherlock, S. (1976). Percutaneous transhepatic obliteration of gastro-oesophageal varices. Lancet (London, England), 2(7976), 53-5.
Scott J, et al. Percutaneous Transhepatic Obliteration of Gastro-oesophageal Varices. Lancet. 1976 Jul 10;2(7976):53-5. PubMed PMID: 59145.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Percutaneous transhepatic obliteration of gastro-oesophageal varices. AU - Scott,J, AU - Dick,R, AU - Long,R G, AU - Sherlock,S, PY - 1976/7/10/pubmed PY - 1976/7/10/medline PY - 1976/7/10/entrez SP - 53 EP - 5 JF - Lancet (London, England) JO - Lancet VL - 2 IS - 7976 N2 - Percutaneous transhepatic portal-vein catheterisation was attempted to obliterate the major variceal venous supply in 13 decompensated cirrhotic patients, who continued to bleed after conservative therapy. Obliteration was achieved and bleeding stopped in 7 patients. In 5 patients obliteration was technically unsuccessful. The remaining patient had an unsuspected portal-vein block diagnosed by the transhepatic technique. 1 patient with successfully obliterated varices died after a haemothorax and haemorperitoneum developed. Follow-up splenic venography at three to six months in the 6 successfully thrombosed patients showed that 4 had persistent obliteration and had not re-bled. 2 patients re-bled from incompletely obliterated varices. It is concluded that selective obliteration of the major variceal supply is effective in stopping acute gastro-oesophageal variceal bleeding, but that greater experience is necessary before the long-term effectiveness of the procedure can be determined. SN - 0140-6736 UR - https://www.unboundmedicine.com/medline/citation/59145/Percutaneous_transhepatic_obliteration_of_gastro_oesophageal_varices_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0140-6736(76)92281-9 DB - PRIME DP - Unbound Medicine ER -