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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...

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Autores principales: Kawai, Tsuyoshi, Yata, Shinsaku, Matsumoto, Kensuke, Miyoshi, Kenichi, Noguchi, Naoya, Fujii, Shinya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Interventional Radiology 2022
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.
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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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