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Role of percutaneous transhepatic obliteration for special types of varices with portal hypertension

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Abstract

The treatment of special types of varices with portal hypertension has not yet been established. We were able to control 13 cases of special types of varices by percutaneous transhepatic obliteration (PTO). These 13 cases consisted of 2 esophagojejunal varices after total gastrectomy for gastric cancer, 1 stoma varices after abdominoperineal excision for rectal cancer, 2 mesenteric varices with encephalopathy, 1 gastric variceal rupture, 1 gastrorenal and gastroazygos shunt with encephalopathy, 3 giant bar-type esophageal varices, 2 isolated gastric varices with gastropericardiac shunts, and 1 isolated gastric varices with gastrophrenic shunt. The special types of varices were successfully embolized in all cases and there were no complications. We conclude that the PTO is still an effective and safe treatment for special types of varices with portal hypertension.

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References

  1. Lunderquist A, Vang J (1974) Transhepatic catheterization and obliteration of the coronary vein in patients with portal hypertension and esophageal varices. N Engl J Med 291:646–649

    Article  PubMed  CAS  Google Scholar 

  2. Chikamori F, Shibuya S, Takase Y, Ozaki A, Fukao K (1996) Transjugular retrograde obliteration for gastric varices. Abdom Imaging 21:299–303

    Article  PubMed  CAS  Google Scholar 

  3. Rosch J, Keller FS (2001) Transjugular intrahepatic portosystemic shunt: present status, comparison with endoscopic therapy and shunt surgery, and future prospectives. World J Surg 25:337–345

    Article  PubMed  CAS  Google Scholar 

  4. Chikamori F, Shibuya S, Takase Y (1998) Percutaneous transhepatic obliteration for esophagojejunal varices after total gastrectomy. Abdom Imaging 23:560–562

    Article  PubMed  CAS  Google Scholar 

  5. Hashizume M, Tanoue K, Kitano S, Ohta M, Sugimachi K (1991) Giant bar-type esophageal varices not eradicated by repeated injection sclerotherapy. Gastrointest Endosc 37:187–189

    PubMed  CAS  Google Scholar 

  6. Hashizume M, Kitano S, Sugimachi K, Sueishi K (1988) Three-dimensional view of the vascular structure of the lower esophagus in clinical portal hypertension. Hepatology 8:1482–1487

    Article  PubMed  CAS  Google Scholar 

  7. Toyonaga A, Iwao T, Sumino M, Takagi K, Oho K, Shigemori H, Tanikawa K (1996) Distinctive portal venographic pattern in patients with sclerotherapy resistant oesophageal varices. J Gastroenterol Hepatol 11:1110–1114

    PubMed  CAS  Google Scholar 

  8. Chikamori F, Kuniyoshi N, Shibuya S, Takase Y (2001) Eight years of experience with transjugular retrograde obliteration for gastric varices with gastrorenal shunts. Surgery 129:414–420

    PubMed  CAS  Google Scholar 

  9. Kanagawa H, Mima S, Kouyama H, Gotoh K, Uchida T, Okuda K (1996) Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration. Gastroenterol Hepatol 11:51–58

    CAS  Google Scholar 

  10. Chikamori F, Kuniyoshi N, Shibuya S, Takase Y (2001) Correlation between endoscopic and angiographic findings in patients with esophageal and isolated gastric varices. Dig Surg 18:176–181

    Article  PubMed  CAS  Google Scholar 

  11. Hassab MA (1967) Gastroesophageal decongestion and splenectomy in the treatment of esophageal varices in bilhazial cirrhosis; Further studies with a report of 355 operations. Surgery 61:169–176

    PubMed  CAS  Google Scholar 

  12. Palejwala AA, Smart HL, Hughes M (2000) Multiple pulmonary glue emboli following gastric variceal obliteration. Endoscopy 32:S1–S2

    Article  PubMed  CAS  Google Scholar 

  13. Shim CS, Cho YD, Kim JO, et al. (1996) A case of portal and splenic vein thrombosis after Histoacryl injection therapy in gastric varices. Endoscopy 28:461

    Article  PubMed  CAS  Google Scholar 

  14. Sato T, Yamazaki K, Toyota J, Karino Y, Ohmura T, Suga T (2004) Inflammatory tumor in pancreatic tail induced by endoscopic ablation with cyanoacrylate glue for gastric varices. J Gastroenterol 39:475–478

    Article  PubMed  Google Scholar 

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Correspondence to F. Chikamori.

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Chikamori, F., Kuniyoshi, N., Kagiyama, S. et al. Role of percutaneous transhepatic obliteration for special types of varices with portal hypertension. Abdom Imaging 32, 92–95 (2007). https://doi.org/10.1007/s00261-006-9007-1

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