Transjugular retrograde obliteration for gastric varices
Transjugular retrograde obliteration for gastric varices
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DOI：
10.1007/s002619900068
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发表时间：
1996-07-01
影响因子：
--
通讯作者：
Fukao, K
中科院分区：
文献类型：
--
作者：
Chikamori, F;Shibuya, S;Fukao, K
目的：探讨经颈静脉逆行闭塞术（TJO）治疗胃底静脉曲张合并胃肾分流的疗效。20例肝炎后肝硬化患者，经颈内静脉将眼镜蛇形5Fr球囊导管插入胃底静脉曲张或胃肾分流道，以无水乙醇、5%油酸乙醇胺碘帕醇作为硬化剂，注入静脉曲张处形成血栓。所有病例均成功闭塞胃静脉曲张。治疗后3个月的内镜检查显示所有病例的胃静脉曲张完全根除。治疗期间或治疗后未观察到严重并发症。我们认为TJO是治疗胃静脉曲张伴胃肾分流的有效方法。
We evaluated the transjugular retrograde obliteration (TJO) in treatment of gastric varices with gastrorenal shunt. Twenty patients with posthepatitic cirrhosis were included in this study, A cobra-shaped 5 French occlusive balloon catheter was inserted into the gastric varices or gastrorenal shunt through the internal jugular vein, As the sclerosants, absolute ethanol and 5% ethanolamine oleate with iopamidol were injected into the varices to make thrombi. In all cases, gastric varices were obliterated successfully. Endoscopic examination 3 months after treatment revealed the complete eradication of gastric varices in all cases. No major complications during or after therapy were observed. We think that TJO can be an effective method for the treatment of gastric varices with gastrorenal shunt.