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A Case of Esophagojejunal Variceal Rupture after Total Gastrectomy and Esophagojejunostomy Successfully Treated with Percutaneous Transhepatic Obliteration under Dual-balloon Occlusion of Feeding and Draining Veins
We present the case of a man in his 60s with bleeding esophagojejunal varices occurring after gastrectomy for gastric carcinoma. Percutaneous transhepatic portography depicted the esophagojejunal varices originated from the jejunal vein and drained into the azygos vein. A 5-French occlusion balloon...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Interventional Radiology
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9719818/ https://www.ncbi.nlm.nih.gov/pubmed/36483665 http://dx.doi.org/10.22575/interventionalradiology.2022-0007 |
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author | Kawai, Tsuyoshi Yata, Shinsaku Matsumoto, Kensuke Miyoshi, Kenichi Noguchi, Naoya Fujii, Shinya |
author_facet | Kawai, Tsuyoshi Yata, Shinsaku Matsumoto, Kensuke Miyoshi, Kenichi Noguchi, Naoya Fujii, Shinya |
author_sort | Kawai, Tsuyoshi |
collection | PubMed |
description | We present the case of a man in his 60s with bleeding esophagojejunal varices occurring after gastrectomy for gastric carcinoma. Percutaneous transhepatic portography depicted the esophagojejunal varices originated from the jejunal vein and drained into the azygos vein. A 5-French occlusion balloon catheter was wedged into the jejunal vein and a 3-French occlusion balloon catheter into one drainage channel of the esophagojejunal varices via the azygos vein. Selective antegrade jejunal venography under dual-balloon occlusion revealed entire esophagojejunal varices with good stagnated and well-opacified contrast medium. Subsequently, 12 mL of 5% ethanolamine oleate-contrast medium mixture was slowly injected into the esophagojejunal varices. He was discharged without complications one week after the procedure, and abdominal computed tomography demonstrated the disappearance of the esophagojejunal varices six months after the procedure. |
format | Online Article Text |
id | pubmed-9719818 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Japanese Society of Interventional Radiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-97198182022-12-07 A Case of Esophagojejunal Variceal Rupture after Total Gastrectomy and Esophagojejunostomy Successfully Treated with Percutaneous Transhepatic Obliteration under Dual-balloon Occlusion of Feeding and Draining Veins Kawai, Tsuyoshi Yata, Shinsaku Matsumoto, Kensuke Miyoshi, Kenichi Noguchi, Naoya Fujii, Shinya Interv Radiol (Higashimatsuyama) Case Report We present the case of a man in his 60s with bleeding esophagojejunal varices occurring after gastrectomy for gastric carcinoma. Percutaneous transhepatic portography depicted the esophagojejunal varices originated from the jejunal vein and drained into the azygos vein. A 5-French occlusion balloon catheter was wedged into the jejunal vein and a 3-French occlusion balloon catheter into one drainage channel of the esophagojejunal varices via the azygos vein. Selective antegrade jejunal venography under dual-balloon occlusion revealed entire esophagojejunal varices with good stagnated and well-opacified contrast medium. Subsequently, 12 mL of 5% ethanolamine oleate-contrast medium mixture was slowly injected into the esophagojejunal varices. He was discharged without complications one week after the procedure, and abdominal computed tomography demonstrated the disappearance of the esophagojejunal varices six months after the procedure. The Japanese Society of Interventional Radiology 2022-10-07 /pmc/articles/PMC9719818/ /pubmed/36483665 http://dx.doi.org/10.22575/interventionalradiology.2022-0007 Text en © 2022 Japanese Society of Interventional Radiology https://creativecommons.org/licenses/by-nc/4.0/Interventional Radiology is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc/4.0/). |
spellingShingle | Case Report Kawai, Tsuyoshi Yata, Shinsaku Matsumoto, Kensuke Miyoshi, Kenichi Noguchi, Naoya Fujii, Shinya A Case of Esophagojejunal Variceal Rupture after Total Gastrectomy and Esophagojejunostomy Successfully Treated with Percutaneous Transhepatic Obliteration under Dual-balloon Occlusion of Feeding and Draining Veins |
title | A Case of Esophagojejunal Variceal Rupture after Total Gastrectomy and Esophagojejunostomy Successfully Treated with Percutaneous Transhepatic Obliteration under Dual-balloon Occlusion of Feeding and Draining Veins |
title_full | A Case of Esophagojejunal Variceal Rupture after Total Gastrectomy and Esophagojejunostomy Successfully Treated with Percutaneous Transhepatic Obliteration under Dual-balloon Occlusion of Feeding and Draining Veins |
title_fullStr | A Case of Esophagojejunal Variceal Rupture after Total Gastrectomy and Esophagojejunostomy Successfully Treated with Percutaneous Transhepatic Obliteration under Dual-balloon Occlusion of Feeding and Draining Veins |
title_full_unstemmed | A Case of Esophagojejunal Variceal Rupture after Total Gastrectomy and Esophagojejunostomy Successfully Treated with Percutaneous Transhepatic Obliteration under Dual-balloon Occlusion of Feeding and Draining Veins |
title_short | A Case of Esophagojejunal Variceal Rupture after Total Gastrectomy and Esophagojejunostomy Successfully Treated with Percutaneous Transhepatic Obliteration under Dual-balloon Occlusion of Feeding and Draining Veins |
title_sort | case of esophagojejunal variceal rupture after total gastrectomy and esophagojejunostomy successfully treated with percutaneous transhepatic obliteration under dual-balloon occlusion of feeding and draining veins |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9719818/ https://www.ncbi.nlm.nih.gov/pubmed/36483665 http://dx.doi.org/10.22575/interventionalradiology.2022-0007 |
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