Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Korean J Radiol. 2014 Jan-Feb;15(1):108-13. doi: 10.3348/kjr.2014.15.1.108. Epub 2014 Jan 8.
This report describes two non-cirrhotic patients with portal vein thrombosis who underwent successful balloon occlusion retrograde transvenous obliteration (BRTO) of gastric varices with a satisfactory response and no complications. One patient was a 35-year-old female with a history of Crohn's disease, status post-total abdominal colectomy, and portal vein and mesenteric vein thrombosis. The other patient was a 51-year-old female with necrotizing pancreatitis, portal vein thrombosis, and gastric varices. The BRTO procedure was a useful treatment for gastric varices in non-cirrhotic patients with portal vein thrombosis in the presence of a gastrorenal shunt.
本报告描述了两例非肝硬化门静脉血栓形成患者，他们成功地接受了球囊闭塞逆行经静脉闭塞（BRTO）治疗胃静脉曲张，取得了满意的疗效且无并发症。一名患者为 35 岁女性，患有克罗恩病病史，行全腹部结肠切除术，伴门静脉和肠系膜静脉血栓形成。另一名患者为 51 岁女性，患有坏死性胰腺炎、门静脉血栓形成和胃静脉曲张。对于存在胃肾分流的非肝硬化门静脉血栓形成伴胃静脉曲张患者，BRTO 是一种有效的治疗方法。
