Gastric varices with splenic vein occlusion treated by splenic arterial, embolization

被引：29

作者：

Sato, T ^{[1
]}

Yamazaki, K ^{[1
]}

Toyota, J ^{[1
]}

Karino, Y ^{[1
]}

Ohmura, T ^{[1
]}

Suga, T ^{[1
]}

机构：

[1] Sapporo Kosei Gen Hosp, Dept Gastroenterol, Chuo Ku, Sapporo, Hokkaido 0600033, Japan

来源：

JOURNAL OF GASTROENTEROLOGY | 2000年 / 35卷 / 04期

关键词：

gastric varices; splenic vein occlusion; splenic arterial embolization;

D O I：

10.1007/s005350050348

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

A 53-year-old man was admitted to our hospital in August 1997 with enlarged gastric varices. Computed tomography (CT) showed splenic vein occlusion, gastric varices, and extra-gastric wall collateral veins. Color flow images of gastric varices were clearly visualized, and the velocity in the gastric varices was 19.6 cm/s via endoscopic color Doppler ultrasonography (ECDUS). The patient was diagnosed with gastric varices according to angiographic findings of splenic vein occlusion, and splenic arterial embolization was performed. Two weeks after the splenic arterial embolization, CT showed peripheral areas of low attenuation in the spleen. due to splenic infarction, with 70% of the spleen volume showing low attenuation. Eight months after the splenic arterial embolization, ECDUS revealed a decrease in gastric variceal color flow images, with the velocity in the gastric varices bring 10.3 cm/s.

引用

页码：290 / 295

页数：6

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