Efficacy of Combined Balloon-occluded Retrograde Transvenous Obliteration and Simultaneous Endoscopic Injection Sclerotherapy
-
- Sato Wataru
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Kamada Kentaro
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Goto Takashi
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Ohshima Shigetoshi
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Miura Kouichi
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Shibuya Tomomi
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Dohmen Takahiro
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Kanata Ryo
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Sakai Toshitaka
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Chiba Mitsuru
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Sugimoto Yuko
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Minami Shinichiro
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
-
- Ishiyama Koichi
- Department of Radiology, Akita University Graduate School of Medicine, Japan
-
- Hashimoto Manabu
- Department of Radiology, Akita University Graduate School of Medicine, Japan
-
- Ohnishi Hirohide
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
この論文をさがす
抄録
Objective We evaluated the efficacy and safety of balloon-occluded retrograde transvenous obliteration (B-RTO) performed using absolute ethanol with iodized oil (ET+LPD) and simultaneous endoscopic injection sclerotherapy (EIS) with cyanoacrylate (CA) for gastric varices (GVs).<br> Methods A total of 16 patients with endoscopically proven high-risk GVs treated using combined B-RTO with ET+LPD and EIS with CA between January 2007 and July 2012 were enrolled.<br> Results Twelve cases included GVs involving both the cardia and fundus, two cases included fundal varices and two cases included cardiac varices. In terms of the form of GVs, 10 cases involved F2 lesions and six cases involved F3 lesions. The flow vein was the left gastric vein in 13 cases and the posterior gastric vein in three cases. The drainage route was a splenorenal shunt in all cases. The average dose of ET+LPD was 12.0 mL, while that of CA was 2.45 mL. All complications were transient, and no major complications occurred after the procedures. None of the patients experienced bleeding or recurrence of gastric varices after the combined B-RTO and EIS procedures during an average follow-up period of 38.3 months.<br> Conclusion Combined B-RTO with ET+LPD and simultaneous EIS with CA is considered to be an effective and safe procedure for treating GVs.<br>
収録刊行物
-
- Internal Medicine
-
Internal Medicine 54 (3), 261-265, 2015
一般社団法人 日本内科学会