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分流闭塞内镜注射硬化疗法（SO-EIS）成功治疗对球囊闭塞逆行静脉栓塞术（BRTO）无效的孤立性胃静脉曲张：病例报告及文献综述

Isolated Gastric Varices Refractory to Balloon-occluded Retrograde Transvenous Obliteration (BRTO) Successfully Treated by Shunt-occluded Endoscopic Injection Sclerotherapy (SO-EIS): A Case Report and Review of the Literature.

作者信息

Hatanaka Takeshi, Kakizaki Satoru, Suzuki Yuhei, Ueno Takashi, Shimada Yasushi, Takizawa Daichi, Katakai Kenji, Sato Ken, Kusano Motoyasu, Yamada Masanobu

机构信息

Department of Internal Medicine, Isesaki Municipal Hospital, Japan.

Department of Gastroenterology, Takasaki General Medical Center, National Hospital Organization, Japan.

出版信息

Intern Med. 2017;56(9):1041-1048. doi: 10.2169/internalmedicine.56.7761. Epub 2017 May 1.

DOI:10.2169/internalmedicine.56.7761
PMID:28458309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5478564/
Abstract

Balloon-occluded retrograde transvenous obliteration (BRTO) is widely used to treat isolated gastric varices (IGVs) in Japan. However, BRTO is difficult to perform for IGVs with many small collateral veins, and no secondary treatment has been established. We herein report a rare case of IGVs refractory to BRTO successfully treated by shunt-occluded endoscopic injection sclerotherapy (SO-EIS), which is a combination therapy of major shunt occlusion by a balloon catheter and endoscopic injection sclerotherapy. Since SO-EIS can be performed regardless of the IGVs' anatomical configuration, it may be a promising alternative treatment for IGVs refractory to BRTO.

摘要

球囊闭塞逆行静脉栓塞术（BRTO）在日本被广泛用于治疗孤立性胃静脉曲张（IGV）。然而，对于存在许多小侧支静脉的IGV，BRTO操作困难，且尚未确立二级治疗方法。我们在此报告1例对BRTO难治的IGV罕见病例，该病例通过分流闭塞内镜注射硬化疗法（SO-EIS）成功治疗，SO-EIS是一种通过球囊导管闭塞主要分流并结合内镜注射硬化疗法的联合治疗方法。由于SO-EIS可不受IGV解剖结构的影响而实施，它可能是对BRTO难治的IGV的一种有前景的替代治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/8c745618c46e/1349-7235-56-1041-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/018babbc61b6/1349-7235-56-1041-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/f22c74e60952/1349-7235-56-1041-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/6850679407af/1349-7235-56-1041-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/7bdd7062d74b/1349-7235-56-1041-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/f0c578ad5f13/1349-7235-56-1041-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/8c745618c46e/1349-7235-56-1041-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/018babbc61b6/1349-7235-56-1041-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/f22c74e60952/1349-7235-56-1041-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/6850679407af/1349-7235-56-1041-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/7bdd7062d74b/1349-7235-56-1041-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/f0c578ad5f13/1349-7235-56-1041-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf29/5478564/8c745618c46e/1349-7235-56-1041-g006.jpg

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Intern Med. 2015;54(3):261-5. doi: 10.2169/internalmedicine.54.3465.
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Int J Hepatol. 2012;2012:167868. doi: 10.1155/2012/167868. Epub 2012 Jul 19.
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Evaluation of therapeutic effects and serious complications following endoscopic obliterative therapy with Histoacryl.
一例罕见的失血性休克病例：脾周静脉曲张伴巨大脾肾分流，经球囊闭塞逆行静脉栓塞术治疗
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