Balloon occluded retrograde transvenous obliteration and percutaneous transhepatic obliteration for ruptured duodenal varices after operation for rectal cancer with multiple liver metastasis

被引：17

作者：

Takamura, Kazuhito

Miyake, Hidenori

Mori, Hiroki

Terashima, Yoshiyasu

Ando, Tsutomu

Fujii, Masahiko

Tashiro, Seiki

Shimada, Mitsuo

机构：

[1] Tokushima CityHospital, Dept Surg, Tokushima, Tokushima, Japan

[2] Univ Tokushima, Grad Sch, Inst Biosci, Dept Digest & Pediat Surg, Tokushima, Japan

[3] Kochi Natl Hosp, Dept Surg, Kochi, Japan

[4] Shikoku Cent Hosp, Dept Surg, Niihama, Ehime, Japan

来源：

JOURNAL OF MEDICAL INVESTIGATION | 2005年 / 52卷 / 3-4期

关键词：

duodenal varices; portal hypertension; balloon occluded retrograde transvenous obliteration; percutaneous transhepatic obliteration;

D O I：

10.2152/jmi.52.212

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

We report a patient with duodenal varices oozing blood who had undergone low anterior resection of the rectum and resection of the liver tumor because of multiple liver metastasis from rectal cancer 80 months previously. Although endoscopic variceal ligation (EVL) was carried out for the ruptured duodenal varices, their bleeding persisted and hepatic encephalopathy also appeared. Finally, balloon occluded retrograde transvenous obliteration (BRTO) with percutaneous transhepatic obliteration (PTO) was carried out for the duodenal varices. Percutaneous transhepatic portography revealed detailed hemodynamics. Following PTO, the duodenal varices were stagnated by BRTO, and no complications were recognized. No re-bleeding episode has been observed since the treatment. In addition, the hepatic encephalopathy was also improved.

引用

页码：212 / 217

页数：6

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