上腸間膜動静脈双方からの血栓溶解療法を施行した門脈・上腸間膜静脈血栓症の1例  [in Japanese] Portal and superior mesenteric venous thrombosis treated with thrombolytic therapy via the superior mesenteric artery and vein  [in Japanese]

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Author(s)

Abstract

症例は61歳男性.門脈・上腸間膜静脈血栓症の加療のため入院した.腸管壊死の兆候はなくIVR治療を選択した.カテーテル吸引による血栓除去術と上腸間膜動静脈双方からの血栓溶解療法を施行することで血栓は縮小し,症状の増悪もなく退院した.本疾患で腸管壊死がない場合は,腸管壊死を回避することが肝要であり,上腸間膜動静脈から可能なIVR治療を一期的に行った本治療法が治療成績を向上させる可能性があると考え報告した.<br>

A 61-year-old man was hospitalized for treatment of portal and superior mesenteric venous thrombosis (PSMVT). We selected interventional radiology (IVR) because there were no signs of intestinal necrosis. The thrombosis was significantly reduced and the patient made progress after we performed thrombectomy via catheter aspiration, and thrombolytic therapy via both the superior mesenteric artery and vein. Even if there are no signs of intestinal necrosis, treatment which prevents intestinal necrosis is vital. In the present case, single-stage IVR therapy via both the superior mesenteric artery and vein improved the therapeutic outcome of PSMVT.<br>

Journal

  • Nippon Shokakibyo Gakkai Zasshi

    Nippon Shokakibyo Gakkai Zasshi 108(1), 59-67, 2011-01-05

    The Japanese Society of Gastroenterology

References:  16

Cited by:  1

Codes

  • NII Article ID (NAID)
    10027867403
  • NII NACSIS-CAT ID (NCID)
    AN00192124
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    04466586
  • Data Source
    CJP  CJPref  J-STAGE 
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