经脾途径治疗胃肠道静脉曲张出血。病例与技术报告。

Transesplenic access in the treatment of varicose gastrointestinal bleeding. Case and technical report.

作者信息

Martins Rafael Birelo, Falsarella Priscila Mina, Motta-Leal-Filho Joaquim Maurício da, Galastri Francisco Leonardo, Affonso Breno Boueri, Garcia Rodrigo Gobbo, Nasser Felipe

机构信息

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2020 Jan 27;18:eRC4934. doi: 10.31744/einstein_journal/2020RC4934. eCollection 2020.

DOI:10.31744/einstein_journal/2020RC4934

PMID:31994612

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6980296/

Abstract

Varicose gastrointestinal bleeding is one of the major causes of morbidity and mortality in patients with chronic liver disease. Endoscopic treatment is the first therapeutic line for these patients, however, for those whom this therapeutic modality fail, a broad knowledge of alternative treatment options may improve the prognosis. We describe a case of a patient who were successfully embolized from gastroesophageal varices via transsplenic access.

摘要

静脉曲张性胃肠道出血是慢性肝病患者发病和死亡的主要原因之一。内镜治疗是这些患者的首选治疗方法，然而，对于那些这种治疗方式失败的患者，广泛了解替代治疗选择可能会改善预后。我们描述了一例通过经脾途径成功栓塞胃食管静脉曲张的患者。