A Case of Portal Vein and Splenic Vein Occlusion after Endoscopic Variceal Occlusion Therapy in Gastric Variceal Bleeding. |
Eun Jeong Kang, Soo Young Park, Yu Rim Lee, Chang Yeon Kim, Sun Young Ahn, Jung Gil Park, Hyun Seok Lee, Won Young Tak, Young Oh Kweon |
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. psyoung0419@gmail.com |
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Abstract |
Acute gastric variceal bleeding is one of the most serious complications in portal hypertension, and is associated with high mortality and morbidity. Endoscopic variceal obturation (EVO) using Histoacryl(R) (n-butyl-2-cyanoacrylate) has been accepted as an effective hemostatic procedure in acute gastric variceal bleeding. However, EVO is not a widely performed because of technical difficulties and complications such as mucosal ulceration, perforation, and systemic embolism. Herein, we report a patient who developed hepatic failure caused by portal vein occlusion by Histoacryl(R) injection for management of gastric variceal bleeding. |
Key Words:
Gastric variceal bleeding, Histoacryl(R), Portal vein occlusion, Splenic vein occlusion |
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