Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy

A 64-year-old man was admitted to our hospital with hematemesis and melena. Six years ago, he had undergone total gastrectomy with Roux-en-Y esophagojejunostomy for gastric cancer. Endoscopic examination revealed varicose veins at the anastomotic sites with cherry-red spots and hemorrhage. Abdominal...

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Autores principales: Wu, Shaojie, Wu, Yicheng, Shen, Yanfu, Cai, Senlin, Zhou, Yanfeng, Zheng, Haotian, Fang, Zhuting
Formato: Online Artículo Texto
Lenguaje:English
Publicado: KeAi Publishing 2019
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8562182/
https://www.ncbi.nlm.nih.gov/pubmed/34805899
http://dx.doi.org/10.1016/j.jimed.2019.10.005
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author Wu, Shaojie
Wu, Yicheng
Shen, Yanfu
Cai, Senlin
Zhou, Yanfeng
Zheng, Haotian
Fang, Zhuting
author_facet Wu, Shaojie
Wu, Yicheng
Shen, Yanfu
Cai, Senlin
Zhou, Yanfeng
Zheng, Haotian
Fang, Zhuting
author_sort Wu, Shaojie
collection PubMed
description A 64-year-old man was admitted to our hospital with hematemesis and melena. Six years ago, he had undergone total gastrectomy with Roux-en-Y esophagojejunostomy for gastric cancer. Endoscopic examination revealed varicose veins at the anastomotic sites with cherry-red spots and hemorrhage. Abdominal computed tomography showed that the varices were supplied by a dilated jejunal vein. Transjugular intrahepatic portosystemic shunt (TIPS) and variceal embolization were performed. There were no major complications or episodes of bleeding during the three-month follow-up. We conclude that TIPS in combination with varices obliteration is an effective alternative method for treatment of ruptured esophagojejunal varices after total gastrectomy.
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spelling pubmed-85621822021-11-19 Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy Wu, Shaojie Wu, Yicheng Shen, Yanfu Cai, Senlin Zhou, Yanfeng Zheng, Haotian Fang, Zhuting J Interv Med Article A 64-year-old man was admitted to our hospital with hematemesis and melena. Six years ago, he had undergone total gastrectomy with Roux-en-Y esophagojejunostomy for gastric cancer. Endoscopic examination revealed varicose veins at the anastomotic sites with cherry-red spots and hemorrhage. Abdominal computed tomography showed that the varices were supplied by a dilated jejunal vein. Transjugular intrahepatic portosystemic shunt (TIPS) and variceal embolization were performed. There were no major complications or episodes of bleeding during the three-month follow-up. We conclude that TIPS in combination with varices obliteration is an effective alternative method for treatment of ruptured esophagojejunal varices after total gastrectomy. KeAi Publishing 2019-10-23 /pmc/articles/PMC8562182/ /pubmed/34805899 http://dx.doi.org/10.1016/j.jimed.2019.10.005 Text en © 2019 Shanghai Journal of Interventional Medicine Press. Production and hosting by Elsevier B.V. on behalf of KeAi. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Wu, Shaojie
Wu, Yicheng
Shen, Yanfu
Cai, Senlin
Zhou, Yanfeng
Zheng, Haotian
Fang, Zhuting
Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
title Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
title_full Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
title_fullStr Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
title_full_unstemmed Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
title_short Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
title_sort transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8562182/
https://www.ncbi.nlm.nih.gov/pubmed/34805899
http://dx.doi.org/10.1016/j.jimed.2019.10.005
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