ID 111823
Title Alternative
A study of transileocolic vein obliteration (TIO) for gastric varices
Author
Iguchi, Hiroyoshi Health Insurance Naruto Hospital
Matsumoto, Takahiro Health Insurance Naruto Hospital
Masuda, Kazuhiko Health Insurance Naruto Hospital
Fujimoto, Hiroshi Health Insurance Naruto Hospital
Takeichi, Toshiaki Health Insurance Naruto Hospital
Kimura, Shigeaki Health Insurance Naruto Hospital
Taguchi, Emiko Health Insurance Naruto Hospital
Kato, Shuji Health Insurance Naruto Hospital
Kato, Midori Health Insurance Naruto Hospital
Murasawa, Masatoshi Health Insurance Naruto Hospital
Iwasaka, Naohito Health Insurance Naruto Hospital
Miyoshi, Yasuyuki Health Insurance Naruto Hospital
Kuratate, Shinji Health Insurance Naruto Hospital
Kurahashi, Miho Health Insurance Naruto Hospital
Keywords
gastric varices
transileocolic vein obliteration (TIO)
balloon catheter
5% EOI
Content Type
Journal Article
Description
Seven cases of giant gastric varices were treated using TIO combined with balloon occlusion of the gastro-renal shunt, for the purpose of reviewing the significance of TIO in the treatment of gastric varices.
In 6 of the 7 cases, giant varices were cured completely. In the unsuccessful case, it was a giant varix (the minimum diameter was 25 mm or more) which had been failed to be treated by the TIO. In 3 of the 7 cases, the varices on the gastric fornix had ruptured ; therefore, emergency TIO was undertaken and resulted in successful hemostasis and disappearance of the varices.
After treatment using this technique, one case developed esophageal varices, and two patients showed a reduction in esophageal varices. In case where gastric varices had been accompanied by RC sign-positive esophageal varices, favorable results were obtained with obliteration of the gastro-renal shunt was combined with compression of the esophagus which had served as another shunt in these cases. After TIO, hepatic function remained unchanged or improved slightly. No case showed exacerbation of hepatic function.
For massive gastric varices with an inside diameter of up to 2 cm, transileocolic vein obliteration (TIO) combined with balloon occlusion of the gastro-renal shunt, which occludes the shunt in an anterograde manner, secures the occlusion of the shunt with no complications. This technique seems to be an effective therapy for gastric varices.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
51
Issue
1
Start Page
11
End Page
20
Sort Key
11
Published Date
1995-02-25
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences