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Keimyung Medical Journal 2014;33(2):164-168.
Published online December 31, 2014.
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
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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