Successful Transjugular Intrahepatic Portosystemic Shunt with Embolization Subsequent to Endoscopic Variceal Band Ligation for Bleeding Anorectal Varices / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 234-238, 2018.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-713775
Biblioteca responsable:
WPRO
ABSTRACT
Anorectal variceal bleeding is a rare occurrence; however, in such event, it could be fatal due to large size and high blood flow rate of varices. However, to date, there is no standardized treatment modality. Although endoscopic treatment can be provided, in cases of recurrent anorectal variceal bleeding, other therapeutic modalities for hemostasis are necessary. Here, we present a case of 58-year-old female patient with liver cirrhosis, who suffered from massive bleeding of anorectal varices. Endoscopic variceal band ligation was performed for primary hemostasis. Additionally, transjugular intrahepatic portosystemic shunt (TIPS) with embolization was performed to reduce the risk of rebleeding. Following the procedure, she had no further bleeding episodes, and the size of anorectal varices decreased, as seen on an abdomino-pelvic computed tomography. Our case illustrates the effectiveness of combined radiological intervention of TIPS with embolization after endoscopic hemostasis, for variceal obliteration and prevention of rebleeding.
Texto completo:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Várices
/
Derivación Portosistémica Quirúrgica
/
Várices Esofágicas y Gástricas
/
Hemostasis Endoscópica
/
Hemorragia
/
Hemostasis
/
Hipertensión Portal
/
Ligadura
/
Cirrosis Hepática
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
The Korean Journal of Gastroenterology
Año:
2018
Tipo del documento:
Artículo