Two Cases of Gastric Varices with Left-sided Portal Hypertension Due to Essential Thrombocythemia Treated with Gastric Devascularization or Partial Splenic Embolization

Left-sided portal hypertension (LSPH) is a condition of extrahepatic portal hypertension that often results in bleeding from isolated gastric varices (GVs). LSPH is sometimes caused by myeloproliferative diseases, such as essential thrombocythemia (ET). We herein report two cases of GVs with LSPH du...

Descripción completa

Detalles Bibliográficos
Autores principales: Watanabe, Yusuke, Osaki, Akihiko, Yamazaki, Shun, Yokoyama, Hanako, Takaku, Kenichi, Sato, Munehiro, Sato, Daisuke, Yokoyama, Naoyuki, Waguri, Nobuo, Terai, Shuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10602822/
https://www.ncbi.nlm.nih.gov/pubmed/36823082
http://dx.doi.org/10.2169/internalmedicine.1273-22
_version_ 1785126466271313920
author Watanabe, Yusuke
Osaki, Akihiko
Yamazaki, Shun
Yokoyama, Hanako
Takaku, Kenichi
Sato, Munehiro
Sato, Daisuke
Yokoyama, Naoyuki
Waguri, Nobuo
Terai, Shuji
author_facet Watanabe, Yusuke
Osaki, Akihiko
Yamazaki, Shun
Yokoyama, Hanako
Takaku, Kenichi
Sato, Munehiro
Sato, Daisuke
Yokoyama, Naoyuki
Waguri, Nobuo
Terai, Shuji
author_sort Watanabe, Yusuke
collection PubMed
description Left-sided portal hypertension (LSPH) is a condition of extrahepatic portal hypertension that often results in bleeding from isolated gastric varices (GVs). LSPH is sometimes caused by myeloproliferative diseases, such as essential thrombocythemia (ET). We herein report two cases of GVs with LSPH due to ET that were successfully controlled by gastric devascularization (GDS) or partial splenic embolization (PSE). Since each patient with LSPH due to ET has a different pathology, optimal treatment should be performed depending on the patient's condition, such as platelet counts, hemodynamics, or the prognosis. We believe that these cases will serve as a reference for future cases.
format Online
Article
Text
id pubmed-10602822
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-106028222023-10-28 Two Cases of Gastric Varices with Left-sided Portal Hypertension Due to Essential Thrombocythemia Treated with Gastric Devascularization or Partial Splenic Embolization Watanabe, Yusuke Osaki, Akihiko Yamazaki, Shun Yokoyama, Hanako Takaku, Kenichi Sato, Munehiro Sato, Daisuke Yokoyama, Naoyuki Waguri, Nobuo Terai, Shuji Intern Med Case Report Left-sided portal hypertension (LSPH) is a condition of extrahepatic portal hypertension that often results in bleeding from isolated gastric varices (GVs). LSPH is sometimes caused by myeloproliferative diseases, such as essential thrombocythemia (ET). We herein report two cases of GVs with LSPH due to ET that were successfully controlled by gastric devascularization (GDS) or partial splenic embolization (PSE). Since each patient with LSPH due to ET has a different pathology, optimal treatment should be performed depending on the patient's condition, such as platelet counts, hemodynamics, or the prognosis. We believe that these cases will serve as a reference for future cases. The Japanese Society of Internal Medicine 2023-02-22 2023-10-01 /pmc/articles/PMC10602822/ /pubmed/36823082 http://dx.doi.org/10.2169/internalmedicine.1273-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Watanabe, Yusuke
Osaki, Akihiko
Yamazaki, Shun
Yokoyama, Hanako
Takaku, Kenichi
Sato, Munehiro
Sato, Daisuke
Yokoyama, Naoyuki
Waguri, Nobuo
Terai, Shuji
Two Cases of Gastric Varices with Left-sided Portal Hypertension Due to Essential Thrombocythemia Treated with Gastric Devascularization or Partial Splenic Embolization
title Two Cases of Gastric Varices with Left-sided Portal Hypertension Due to Essential Thrombocythemia Treated with Gastric Devascularization or Partial Splenic Embolization
title_full Two Cases of Gastric Varices with Left-sided Portal Hypertension Due to Essential Thrombocythemia Treated with Gastric Devascularization or Partial Splenic Embolization
title_fullStr Two Cases of Gastric Varices with Left-sided Portal Hypertension Due to Essential Thrombocythemia Treated with Gastric Devascularization or Partial Splenic Embolization
title_full_unstemmed Two Cases of Gastric Varices with Left-sided Portal Hypertension Due to Essential Thrombocythemia Treated with Gastric Devascularization or Partial Splenic Embolization
title_short Two Cases of Gastric Varices with Left-sided Portal Hypertension Due to Essential Thrombocythemia Treated with Gastric Devascularization or Partial Splenic Embolization
title_sort two cases of gastric varices with left-sided portal hypertension due to essential thrombocythemia treated with gastric devascularization or partial splenic embolization
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10602822/
https://www.ncbi.nlm.nih.gov/pubmed/36823082
http://dx.doi.org/10.2169/internalmedicine.1273-22
work_keys_str_mv AT watanabeyusuke twocasesofgastricvariceswithleftsidedportalhypertensionduetoessentialthrombocythemiatreatedwithgastricdevascularizationorpartialsplenicembolization
AT osakiakihiko twocasesofgastricvariceswithleftsidedportalhypertensionduetoessentialthrombocythemiatreatedwithgastricdevascularizationorpartialsplenicembolization
AT yamazakishun twocasesofgastricvariceswithleftsidedportalhypertensionduetoessentialthrombocythemiatreatedwithgastricdevascularizationorpartialsplenicembolization
AT yokoyamahanako twocasesofgastricvariceswithleftsidedportalhypertensionduetoessentialthrombocythemiatreatedwithgastricdevascularizationorpartialsplenicembolization
AT takakukenichi twocasesofgastricvariceswithleftsidedportalhypertensionduetoessentialthrombocythemiatreatedwithgastricdevascularizationorpartialsplenicembolization
AT satomunehiro twocasesofgastricvariceswithleftsidedportalhypertensionduetoessentialthrombocythemiatreatedwithgastricdevascularizationorpartialsplenicembolization
AT satodaisuke twocasesofgastricvariceswithleftsidedportalhypertensionduetoessentialthrombocythemiatreatedwithgastricdevascularizationorpartialsplenicembolization
AT yokoyamanaoyuki twocasesofgastricvariceswithleftsidedportalhypertensionduetoessentialthrombocythemiatreatedwithgastricdevascularizationorpartialsplenicembolization
AT wagurinobuo twocasesofgastricvariceswithleftsidedportalhypertensionduetoessentialthrombocythemiatreatedwithgastricdevascularizationorpartialsplenicembolization
AT teraishuji twocasesofgastricvariceswithleftsidedportalhypertensionduetoessentialthrombocythemiatreatedwithgastricdevascularizationorpartialsplenicembolization

Ejemplares similares