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. chung50@dsmc.or.kr |
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Abstract |
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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