ID 111823
タイトル別表記
A study of transileocolic vein obliteration (TIO) for gastric varices
著者
井口, 博善 健康保険鳴門病院
松本, 隆裕 健康保険鳴門病院
増田, 和彦 健康保険鳴門病院
藤本, 浩史 健康保険鳴門病院
武市, 俊彰 健康保険鳴門病院
木村, 成昭 健康保険鳴門病院
田口, 恵実子 健康保険鳴門病院
加藤, 修司 健康保険鳴門病院
加藤, みどり 健康保険鳴門病院
村澤, 正甫 健康保険鳴門病院
岩坂, 尚仁 健康保険鳴門病院
三好, 康敬 健康保険鳴門病院
倉立, 真志 健康保険鳴門病院
倉橋, 三穂 健康保険鳴門病院
キーワード
gastric varices
transileocolic vein obliteration (TIO)
balloon catheter
5% EOI
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
51
1
開始ページ
11
終了ページ
20
並び順
11
発行日
1995-02-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系