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Keimyung Medical Journal 2014;33(2):146-151.
Published online December 31, 2014.
A Case of Gastric Variceal Bleeding Controlled by Percutaneous Tranhepatic Glue Embolization.
Chang Jae Hur, Wang Yong Choi, Eu Gene Han, Byoung Kuk Jang, Jae Seok Hwang, Woo Jin Chung
Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.
Gastric variceal bleeding has relatively low incidence rate compared to esophageal variceal bleeding. However, gastric variceal bleeding tends to lead to a massive bleeding and rebleeding which in turn leads to high mortality rate. In cases where endoscopic approach is limited, Ballon-occluded retrograde transvenous obliteration (BRTO) could be considered as a next modality of seizing acute bleeding. Venous catheterization should be preceded to perform venous embolization, however, in cases of hypovolemic shock status, alternative approaches are required. We are reporting a case of 60-year old female with hypovolemic status due to a massive hematemesis, who went through a percutaneous transhepatic glue embolization to control gastric variceal bleeding.
Key Words: Gastric varix, Percutaneous transhepatic glue embolization
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