지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 973 - 979 (7page)
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초록· 키워드
오류제보하기
Purpose: To evaluate the technical feasibility and safety of vascular plug assisted retrograde transvenous obliteration (PARTO) for bleeding gastric varix performed in the emergent clinical setting and describe the mid-term clinical results.
Materials and Methods: From April 2012 to January 2015, emergent PARTO was tried in total 9 patients presented with active gastric varix bleeding. After initial insufficient or failure of endoscopic approach, they underwent PARTO in the emergent clinical setting. Gelatin sponge embolization of both gastrorenal (GR) shunt and gastric varix was performed after retrograde transvenous placement of a vascular plug in GR shunt. Coil assisted RTO (CARTO) was performed in one patient who had challenging GR shunt anatomy for vascular plug placement. Additional embolic materials, such as microcoils and NBCA glue-lipiodol mixture, were required in three patients to enhance complete occlusion of GR shunt or obliteration of competitive collateral vessels. Clinicalsuccess was defined as no variceal rebleeding and disappearance of gastric varix.
Results: All technical and clinical success–i.e., complete GR shunt occlusion and offending gastric varix embolization with immediatebleeding control–was achieved in all 9 patients. There was no procedure-related complication. All cases showed successfulclinical outcome during mean follow up of 17 months (12–32 months), evidenced by imaging studies, endoscopy and clinical data. In 4 patients, mild worsening of esophageal varices or transient ascites was noted as portal hypertensive related change.
Conclusion: Emergent PARTO is technically feasible and safe, with acceptable mid-term clinical results, in treating active gastric varix bleeding.
목차
등록된 정보가 없습니다.
참고문헌 (31)
참고문헌 신청
de Franchis R / 2001 / Natural history of portal hypertension in patients with cirrhosis / Clin Liver Dis 5:645~663
Chang CJ / 2013 / Management of acute gastric varices bleeding / J Chin Med Assoc 76:539~546
de Franchis R / 2014 / Acute variceal haemorrhage: practice guidelines and real-life management / Dig Liver Dis 46:398~399
Ryan BM / 2004 / A pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices / Gastroenterology 126:1175~1189
Kiyosue H / 2013 / Multidetector CT anatomy of drainage routes of gastric varices: a pictorial review / Radiographics 33:87~100
Chang CJ / 2013 / Management of acute gastric varices bleeding / J Chin Med Assoc 76:539~546
de Franchis R / 2014 / Acute variceal haemorrhage: practice guidelines and real-life management / Dig Liver Dis 46:398~399
Ryan BM / 2004 / A pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices / Gastroenterology 126:1175~1189
Kiyosue H / 2013 / Multidetector CT anatomy of drainage routes of gastric varices: a pictorial review / Radiographics 33:87~100
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