Hemorrhagic shock due to rupture of duodenal varices
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- AKASAKA Osamu
- Department of Gastroenterology, Fujisawa City Hospital
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- IWASE Sigeru
- Department of Gastroenterology, Fujisawa City Hospital
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- KANEKO Takasi
- Department of Gastroenterology, Fujisawa City Hospital
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- NAKANISI Miho
- Department of Gastroenterology, Fujisawa City Hospital
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- ANAN Hideaki
- Department of Gastroenterology, Fujisawa City Hospital
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- MATUEDA Rie
- Department of Gastroenterology, Shonan Hospital
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- NAKAMURA Saburou
- Anti Tuberculosis Association
Bibliographic Information
- Other Title
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- 内視鏡的治療が奏功した十二指腸水平部静脈瘤破裂
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Abstract
A 61-year-old woman was admitted to our hospital for melena and convulsion in shock state. Laboratory data on admission indicated severe anemia and marked liver dysfunction. She improved clinically, after received a large blood transfusion.<br> Angiographic study was performedCand portography revealed duodenal varices supplied via superior mesenteric artery and drained to the left ovarian vein. An endoscopic examination was performed, and large nodular varices were observed in the third portion of the duodenum.<br> The varices were treated by percutaneous transhepatic obliteration of portal systemic collaterals (PTO), and endoscopic injection sclerotherapy (EIS) with n-butyl-2-cyanoacrylate (Histoacryl). After complection of EIS, no further bleeding occurred, and the patients hemoglobin level was stabilized.<br> No recurrence of the duodenal varices has been detected during the follow-up period of five months after EIS with N-butyl-2-cyanoacrylate.<br>
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 103 (5), 529-536, 2006
The Japanese Society of Gastroenterology
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Keywords
Details 詳細情報について
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- CRID
- 1390001206399720704
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- NII Article ID
- 10018072338
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- NII Book ID
- AN00192124
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- ISSN
- 13497693
- 04466586
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed