Percutaneous transsplenic varices embolization in treatment of upper gastrointestinal hemorrhage of schistosomiasis cirrhosis

Zhongguo xue xi chong bing fang zhi za zhi = Chinese journal of schistosomiasis control
Ji Chang-XueQiang Jin-Wei

Abstract

To evaluate the application value of percutaneous transsplenic varices embolization (PTSVE) in the treatment of upper gastrointestinal hemorrhage in patients with schistosomiasis cirrhosis. Sixteen schistosomiasis cirrhosis patients (12 males and 4 females) with portal hypertension complicated with esophageal and upper gastrointestinal hemorrhage were selected as the investigation subjects, all the patients had been treated by esophageal vein ligation and sclerotherapy, but with bleeding again post-operation. The patients were treated by PTSVE under the guidance of X-ray fluoroscopy. The success rate of PTSVE and the rate of complications were observed. In addition, the patients received PTSVE were reexamined with abdominal CT one month post-operation, and the degrees of varices were compared before and after PTSVE. Fourteen cases (87.50%) were successfully treated with PTSVE. Two cases (12.50%) failed, and one case had an abdominal bleeding 1 week post-operation. The abdominal CT showed the degrees of esophageal varices (P < 0.001), esophageal vein (P < 0.001) and gastric varices (P < 0.001) were significantly decreased in the patients who received PTSVE one month after the operation. PTSVE is a safe and effective method in th...Continue Reading

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