Abstract
Balloon-occluded retrograde transvenous obliteration is an established treatment for gastric varices; it has been used more rarely to treat mesenteric varices. We report a 12-year-old girl who had received a living donor liver transplant and suffered melena due to ruptured mesenteric varices. We addressed treatment of the mesenteric varices by retrograde transvenous obliteration of an abdominal wall collateral vein detected by superior mesenteric arteriography.
Similar content being viewed by others
References
Lebrec D, Benhamou J (1985) Ectopic varices in portal hypertension. Clin Gastroenterol 14:105–121
Ibukuro K, Sugihara T, Tanaka R et al (2007) Balloon-occluded retrograde transvenous obliteration (BRTO) for a direct shunt between the inferior mesenteric vein and the inferior vena cava in a patient with hepatic encephalopathy. J Vasc Radiol 18:121–125
Kanagawa H, Miwa S, Kouyama H, Gotoh K, Uchida T, Okuda K (1996) Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration. J Gastroenterol Hepatol 11:51–58
Miyoshi H, Oshiba S, Matsumoto A, Takada K, Umegaki E, Hirata I (1991) Haptoglobin prevents renal dysfunction associated with intravariceal infusion of ethanolamine oleate. Am J Gastroenterol 86:1638–1641
Norton ID, Andrews JC, Kamath PS (1998) Management of ectopic varices. Hepatology 28:1154–1158
Yuki N, Kubo M, Noro Y et al (1992) Jejunal varices as a cause of massive gastrointestinal bleeding. Am J Gastroenterol 87:514–517
Joo YE, Kim HS, Choi SK, Rew JS, Kim HR, Kim SJ (2000) Massive gastrointestinal bleeding from jejunal varices. J Gastroenterol 35:775–778
Fix OK, Simon JT, Farraye FA et al (2006) Obscure gastrointestinal hemorrhage from mesenteric varices diagnosed by video capsule endoscopy. Dig Dis Sci 51(7):1169–1174
Wilson SE, Stone RT, Christie JP, Passaro E Jr (1979) Massive lower gastrointestinal bleeding from intestinal varices. Arch Surg 114:1158–1161
Ono S, Irie T, Kuramochi M et al (2007) Successful treatment of mesenteric varices with balloon-occluded retrograde transvenous obliteration via an abdominal wall vein. J Vasc Interv Radiol 18:1033–1035
Hirota S, Matsumoto S, Tomita M, Sako M, Kono M (1999) Retrograde transvenous obliteration of gastric varices. Radiology 211:349–356
Koito K, Namieno T, Nagakawa T, Morita K (1996) Balloon-occluded retrograde transvenous obliteration for gastric varices with gastrorenal or gastrocaval collaterals. AJR 167:1317–1320
Sarin SK, Sachdev G, Nanda R, Misra SP, Broor SL (1988) Endoscopic sclerotherapy in the treatment of gastric varices. Br J Surg 75:747–750
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ikeda, O., Tamura, Y., Nakasone, Y. et al. Successful Treatment of Mesenteric Varices After Living Donor Liver Transplantation with Retrograde Transvenous Obliteration Via an Abdominal Wall Vein. Cardiovasc Intervent Radiol 33, 631–634 (2010). https://doi.org/10.1007/s00270-009-9659-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-009-9659-7