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内镜超声引导下治疗与动脉缠绕的孤立性胃静脉曲张：一例报告。

Endoscopic ultrasound-guided treatment of isolated gastric varices entwined with arteries: A case report.

作者信息

Zhang Hong-Ying, He Chen-Cong, Zhong Ding-Fu

机构信息

Department of Gastroenterology, Jinhua People's Hospital, Jinhua 321000, Zhejiang Province, China.

Department of General Medicine, Jinhua Guangfu Hospital, Jinhua 321001, Zhejiang Province, China.

出版信息

World J Gastrointest Endosc. 2024 Aug 16;16(8):489-493. doi: 10.4253/wjge.v16.i8.489.

DOI:10.4253/wjge.v16.i8.489
PMID:39156000
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11325873/
Abstract

BACKGROUND

Interventional endoscopic ultrasound is clinically used for the treatment of isolated gastric varices (IGVs) owing to its precise visualization.

CASE SUMMARY

A 39-year-old man was diagnosed with a large IGV during a routine physical examination. Endoscopic ultrasonography showed gastric varices entwined with an artery, which greatly increased the difficulty of treatment. We successfully treated the patient with endoscopic ultrasonography-guided coil embolization combined with cyanoacrylate injection.

CONCLUSION

Endoscopic ultrasonography-guided coil embolization combined with cyanoacrylate injection was safe and effective for the treatment of an IGV entwined with an artery.

摘要

背景

介入性内镜超声因其精确的可视化效果而在临床上用于治疗孤立性胃静脉曲张（IGV）。

病例摘要

一名39岁男性在常规体检中被诊断出患有大型IGV。内镜超声检查显示胃静脉曲张与一条动脉缠绕在一起，这大大增加了治疗难度。我们通过内镜超声引导下的弹簧圈栓塞联合氰基丙烯酸酯注射成功治疗了该患者。

结论

内镜超声引导下的弹簧圈栓塞联合氰基丙烯酸酯注射治疗与动脉缠绕的IGV是安全有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c642/11325873/98bbe67773c8/WJGE-16-489-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c642/11325873/8c044c3271c8/WJGE-16-489-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c642/11325873/98bbe67773c8/WJGE-16-489-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c642/11325873/8c044c3271c8/WJGE-16-489-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c642/11325873/98bbe67773c8/WJGE-16-489-g002.jpg

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2
The Role of Endoscopic Ultrasound (EUS) in the Management of Gastric Varices.内镜超声（EUS）在胃静脉曲张管理中的作用。
Curr Gastroenterol Rep. 2021 Jan 2;23(1):1. doi: 10.1007/s11894-020-00801-2.
3
Endoscopic ultrasound-guided coil deployment with sclerotherapy for isolated gastric varices: Case series of feasibility, safety, and long-term follow-up.
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