经左胃静脉腔静脉分流术治疗食管静脉曲张后出现巨大胃静脉曲张：一例报告

Giant gastric varices after a left gastric venous caval shunt operation for esophageal varices: a case report.

作者信息

Saeki H, Hashizume M, Yanaga K, Ohta M, Kawanaka H, Kishihara F, Tsugawa Y, Migo S, Sugimachi K

机构信息

Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

出版信息

Hepatogastroenterology. 1998 May-Jun;45(21):700-4.

PMID:9684119

Abstract

A Japanese woman, who had undergone a left gastric venous caval shunt operation for esophageal varices 17 years earlier, was admitted to our hospital because of bleeding from giant gastric varices. An angiographic examination revealed a stealing of the portal blood flow to the inferior vena cava through both a dilated right gastroepiploic vein and a right gastric vein via the left gastric venous caval shunt. The gastric varices disappeared after obliterating both the feeding and drainage vessels by means of intervention radiology. We thus, consider the occlusion of both the afferent and efferent vessels to be an effective treatment for gastric varices.

摘要

一名17年前因食管静脉曲张接受过左胃静脉腔静脉分流术的日本女性，因巨大胃静脉曲张出血而入住我院。血管造影检查显示，门静脉血流通过扩张的右胃网膜静脉和右胃静脉经左胃静脉腔静脉分流进入下腔静脉。通过介入放射学闭塞供血和引流血管后，胃静脉曲张消失。因此，我们认为闭塞流入和流出血管是治疗胃静脉曲张的有效方法。