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Epiploic gonadal vein as a new bypass route for extrahepatic portal venous obstruction: report of a case

A 61-year-old man was referred to our hospital to treat extrahepatic portal venous obstruction. Endoscopic injection sclerotherapy (EIS) was performed for the esophageal varices; however, the patient returned with massive hematemesis from gastric varices 6 months after treatment. Although the varice...

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Detalles Bibliográficos
Autores principales: Sumiyoshi, Tatsuaki, Shima, Yasuo, Okabayashi, Takehiro, Negoro, Yuji, Kozuki, Akihito, Iwata, Jun, Saisaka, Yuichi, Tokumaru, Teppei, Nakamura, Toshio, Morita, Sojiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4615993/
https://www.ncbi.nlm.nih.gov/pubmed/26943433
http://dx.doi.org/10.1186/s40792-015-0112-7
Descripción
Sumario:A 61-year-old man was referred to our hospital to treat extrahepatic portal venous obstruction. Endoscopic injection sclerotherapy (EIS) was performed for the esophageal varices; however, the patient returned with massive hematemesis from gastric varices 6 months after treatment. Although the varices were treated with EIS, gastric devascularization and splenectomy concomitant with shunt surgery were required to treat uncontrollable, frequent diarrhea and abdominal distension. Because the splenic vein, left gastric vein, left portal vein, and inferior vena cava were inadequate for anastomosis, an epiploic gonadal vein bypass was performed. The bypass graft remains patent 7 months after surgery, and the patient is in good health without any clinical symptoms. We describe a new bypass route for extrahepatic portal venous obstruction.