Percutaneous transhepatic obliteration with N-butyl-2-cyanoacrylate in a patient with a superior mesenteric vein intraluminal distal small bowel variceal bleed
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Gastrointestinal (GI) bleeding is a serious complication with a high mortality rate (45%–55%) that can result from a variety of conditions, including portal hypertension, diverticulosis, or splenic vein thrombosis. There are a variety of established treatment strategies for GI bleeds, and there are different indications and contraindications for each. In this case, colonoscopy did not identify any active source of bleeding. Furthermore, because this GI hemorrhage did not involve any shunts, balloon-occluded retrograde transvenous obliteration was not performed. Additionally, a transjugular intrahepatic portosystemic shunt was ruled out due to the poor primary shunt patency rate. Here, we report the treatment of a GI bleed with N-butyl- 2-cyanoacrylate (n-BCA) liquid embolization with no complications. This case demonstrates the potential of using n-BCA to treat small bowel varices.
Abstract
Gastrointestinal (GI) bleeding is a serious complication with a high mortality rate (45%–55%) that can result from a variety of conditions, including portal hypertension, diverticulosis, or splenic vein thrombosis. There are a variety of established treatment strategies for GI bleeds, and there are different indications and contraindications for each. In this case, colonoscopy did not identify any active source of bleeding. Furthermore, because this GI hemorrhage did not involve any shunts, balloon-occluded retrograde transvenous obliteration was not performed. Additionally, a transjugular intrahepatic portosystemic shunt was ruled out due to the poor primary shunt patency rate. Here, we report the treatment of a GI bleed with N-butyl- 2-cyanoacrylate (n-BCA) liquid embolization with no complications. This case demonstrates the potential of using n-BCA to treat small bowel varices.
참고문헌 (6)
- Sarin SK, "Prevalence, classification and natural history of gastric varices : a long-term follow-up study in 568portal hypertension patients", Hepatology, 16, pp.1343~1349 (1992)
- Haskal ZJ, "Intestinal varices : treatment with the transjugular intrahepatic portosystemic shunt", Radiology, 191, pp.183~187 (1994)
- Hirota S, "Retrograde transvenous obliteration of gastric varices", Radiology, 211, pp.349~356 (1999)
- Lee CW, "Transcatheter arterial embolization of acute upper gastrointestinal tract bleeding with N-butyl-2-cyanoacrylate", J Vasc Interv Radiol, 18, pp.209~216 (2007)
- Rösch J, "Transjugular intrahepatic portosystemic shunt : present status, comparison with endoscopic therapy and shunt surgery, and future prospectives", World J Surg, 25, pp.337~345 (2001)
- Garcia-Tsao G, "Portal hypertensive bleeding in cirrhosis : risk stratification, diagnosis, and management : 2016 practice guidance by the American Association for the study of liver diseases", Hepatology, 65, pp.310~335 (2017)