PMID: 59145Jul 10, 1976

Percutaneous transhepatic obliteration of gastro-oesophageal varices

Lancet
J ScottS Sherlock

Abstract

Percutaneous transhepatic portal-vein catheterisation was attempted to obliterate the major variceal venous supply in 13 decompensated cirrhotic patients, who continued to bleed after conservative therapy. Obliteration was achieved and bleeding stopped in 7 patients. In 5 patients obliteration was technically unsuccessful. The remaining patient had an unsuspected portal-vein block diagnosed by the transhepatic technique. 1 patient with successfully obliterated varices died after a haemothorax and haemorperitoneum developed. Follow-up splenic venography at three to six months in the 6 successfully thrombosed patients showed that 4 had persistent obliteration and had not re-bled. 2 patients re-bled from incompletely obliterated varices. It is concluded that selective obliteration of the major variceal supply is effective in stopping acute gastro-oesophageal variceal bleeding, but that greater experience is necessary before the long-term effectiveness of the procedure can be determined.

Citations

Feb 1, 1982·Digestive Diseases and Sciences·G Lake-BakaarJ A Summerfield
Aug 31, 1978·Gastrointestinal Radiology·I S Johnsrude, D C Jackson
Apr 27, 1979·Cardiovascular Radiology·R PassarielloL Rovighi
Oct 28, 2005·Cardiovascular and Interventional Radiology·Michiko BokuKazuro Sugimura
Oct 5, 2013·Cardiovascular and Interventional Radiology·Wael E A SaadSteven C Rose
Aug 12, 2009·Hepatology International·Ahmed HelmyMohamed Al Fadda
Apr 1, 1981·Seminars in Roentgenology·F S KellerJ W Jendrzejewski
May 1, 1982·The Journal of Laryngology and Otology·D Kingsley, A F O'Connor
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Jan 1, 1978·Gut·S Sherlock
Apr 1, 1977·Postgraduate Medical Journal·H Ellis
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Mar 30, 2013·World Journal of Gastroenterology : WJG·Aitao SunChunqing Zhang
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Related Concepts

Ascites
Catheterization
Embolization, Therapeutic
Gastric Varix
Glucose, (beta-D)-Isomer
Hematochezia
Fibrosis, Liver
Portal Vein Structure
Stomach Diseases
Gamma-Thrombin

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