CardioVascular and Interventional Radiology

, Volume 29, Issue 6, pp 1152–1155 | Cite as

Percutaneous Trans-hepatic Obliteration for Bleeding Esophagojejunal Varices After Total Gastrectomy and Esophagojejunostomy

  • Michiko Boku
  • Koji Sugimoto
  • Tetsu Nakamura
  • Yasufumi Kita
  • Carlos A. Zamora
  • Kazuro Sugimura
CASE REPORT
First Online:

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.

Keywords

Total gastrectomy Esophagojejunostomy Esophagojejunal varices Percutaneous obliteration 
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Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Michiko Boku
    • 1
  • Koji Sugimoto
    • 3
  • Tetsu Nakamura
    • 1
  • Yasufumi Kita
    • 2
  • Carlos A. Zamora
    • 3
  • Kazuro Sugimura
    • 3
  1. 1.Department of RadiologyShinko-Kakogawa Steel HospitalHiraoka-choJapan
  2. 2.Department of SurgeryShinko-Kakogawa Steel HospitalHiraoka-choJapan
  3. 3.Department of RadiologyKobe University Graduate School of MedicineChuo-kuJapan

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