逆行性下横隔静脈造影からみた経頸静脈的逆行性胃静脈瘤塞栓術の適応に関する検討

• 近森 文夫

  近森病院外科

• 渋谷 進

  筑波大学外科

• 高瀬 靖広

  つくば双愛病院外科

書誌事項

タイトル別名

• FINDINGS OF RETROGRADE INFERIOR PHRENIC VENOGRAPHY AND THE INDICATION OF TRANSJUGULAR RETROGRADE OBLITERATION FOR GASTRIC VARICES

抄録

The indication of transjugular retrograde obliteration (TJO) was studied in terms of findings of retrograde inferior phrenic venography (RIP). The subjects were 35 cases of gastric varices (GV). RIP was performed in these 35 patients and they were classified into four types according to the presence of visualized GV and the size of shunt: type Ia (visualized GV; big shunt); type Ib (visualized GV, small shunt); type IIa (non-visualized, big shunt); and type IIb (non-visualized, small shunt). The success rates of TJO were compared among these types. TJO success rates were 95% (21/22) in type Is and 38% (5/13) in type IIs, with a significant difference (p<0.01). The success rates were 71% (5/7) in type IIa but o% (o/6) in type IIb (p<0.05). It is thought that GV visualized cases on RIP are capable of being indicated TJO and are good candidates for TJO. GV non-visualized cases with a small shunt should not be indicated TJO. Further, even GV non-visualized cases, if they have a big shunt, TJO is able to be indicated by some device of operative procedure.

収録刊行物

• 日本臨床外科医学会雑誌

  日本臨床外科医学会雑誌 57 (12), 2884-2890, 1996

  日本臨床外科学会

キーワード

• 逆行性下横隔静脈造影
• 孤立性胃静脈瘤
• 経頸静脈的逆行性胃静脈瘤塞栓術
• 胃腎静脈シャント
• 胃横隔静脈シャント

詳細情報

• CRID: 1390282680292058240
• NII論文ID: 130003599886
• NII論文ID: 10008525265
• NII書誌ID: AN00198696
• DOI: 10.3919/ringe1963.57.2884
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/57/12/57_12_2884/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1997133719
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可