Successful EUS-guided treatment of gastric varices with coil embolization and injection of absorbable gelatin sponge.
Successful EUS-guided treatment of gastric varices with coil embolization and injection of absorbable gelatin sponge.
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DOI：
10.1016/j.vgie.2018.08.004
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发表时间：
2019-04-01
期刊：
影响因子：
--
通讯作者：
Ryou, Marvin
中科院分区：
文献类型：
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作者：
Ge, Phillip S;Bazarbashi, Ahmad N;Ryou, Marvin
15% 至 20% 的门脉高压患者会发生胃静脉曲张，并与严重的胃肠道出血和高死亡率相关。在此，我们报告 EUS 引导下弹簧圈栓塞和注射可吸收明胶海绵治疗胃静脉曲张的经验（视频 1，可在 www.VideoGIE.org 在线获取）。一名 51 岁女性，患有失代偿期酒精性肝硬化，已知 1 型胃静脉曲张，因吐血到医院就诊。她被认为不适合接受经颈静脉肝内门体分流术或球囊闭塞逆行经静脉闭塞术。因此，决定对她的胃静脉曲张进行 EUS 引导治疗（图 1）。在 EUS 上，可以看到 4 个大的胃静脉曲张集合，每个集合都有多个短轴尺寸为 7 至 12 毫米的独立隔室。可见多处静脉曲张直接接触胃底表面。
Gastric varices occur in 15% to 20% of patients with portal hypertension and are associated with significant GI bleeding and high mortality. Here, we report our experience with EUS-guided coil embolization and injection of absorbable gelatin sponge for the treatment of gastric varices (Video 1, available online at www. VideoGIE. org).A 51-year-old woman with decompensated alcoholic cirrhosis and known type 1 gastric varices presented to the hospital with hematemesis. She was deemed not a suitable candidate for either transjugular intrahepatic portosystemic shunt or balloon-occluded retrograde transvenous obliteration. It was, therefore, decided to offer EUS-guided treatment of her gastric varices (Fig. 1). On EUS, 4 large collections of gastric varices were visualized, each with multiple individual compartments measuring 7 to 12 mm in short axis. Multiple varices were seen to directly contact the surface of the gastric fundus.