Esophageal and Gastric Varices - The Gastrointestinalatlas Gastrointestinal - blogaidz.xyz - Mesenteric Venous Thrombosis — NEJM


Article citation Papers, Zotero, Reference Manager, RefWorks. Interventional radiological techniques are attractive alternatives for patients with a high surgical risk or in cases when the immediate surgical excision of the spleen is technically difficult. Splenectomy was formerly considered the best treatment [ 111415 ]. Prevalence, classification and natural history of gastric varices: This led us to consider that the enlarged varices may be secondary to splenic vein thrombosis. His medical history revealed that he was missing an FVL. His SPH was due to blood hypercoagulability and attributed to a missing von Leiden factor FVL. All authors read and approved the final manuscript. PubMed Google Scholar Sakorafas GH, Sarr MG, Farley DR, Farnell MB:

Bleeding Varices: Get Facts About Bleeding from the Stomach


Our patient was discharged one week later without any symptoms. Endoscopic injection sclerotherapy in patients with GVs is more difficult to perform than when esophageal varices are involved [ 16 ]. The significance of sinistral portal hypertension complicating chronic pancreatitis. View Article PubMed Google Scholar Sato T, Yamazaki K, Toyota J, Karino Y, Ohmura T, Suga T: View Article Google Scholar Bertina RM: In a study by Sakorafas et al. What do you think about BMC? Open Peer Review reports.

Contact us Editorial email: A year-old Greek man who had episodes of hematemesis and hematochezia was admitted to the emergency department of our hospital. His peripheral blood examinations revealed the following: Splenic and portal venous obstruction in chronic pancreatitis: Splenic varices embolization is now emerging as a safe and effective alternative to surgery in the management of massive hemorrhage from gastric varices due to splenic vein thrombosis, which is not a rare condition in patients with hypercoagulability. Symptomatic sinistral portal hypertension is usually best treated by splenectomy, but interventional radiological techniques are safe and effective alternatives in the management of a thrombosis esophageal hemorrhage, particularly in cases that have splenic vein high surgical risk. We used a Sengstaken-Blakemore tube on our patient, but this failed to restrain his bleeding. View Article PubMed Google Scholar Sato T, Yamazaki K, Toyota J, Karino Y, Ohmura T, Suga T: Regional portal hypertension in chronic pancreatitis. Sinistral portal hypertension SPH is a clinical syndrome of gastric variceal hemorrhage in the setting of splenic vein thrombosis SVTmostly due to pancreatic pathology [ 1 ]. Ultrasonography showing dilated splenic vein of our patient. This led us to consider that the enlarged varices may be secondary to splenic vein thrombosis. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http: This is coupled with the formation of thin-walled gastric and esophageal varices [ 910 ]. We describe a patient with massive gastric variceal bleeding caused by SPH. How does Open Peer Review work? Meanwhile, portal systemic shunting is not indicated because of normal portal pressure and hepatic function.

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References Singhal D, Kakodkar R, Soin AS, GuptaNundy S: In a study by Sakorafas et al. Other Actions Order reprint. He was successfully treated by splenic arterial embolization. Sinistral portal hypertension SPH is a clinical syndrome of gastric variceal hemorrhage in the setting of splenic vein thrombosis SVTmostly due to pancreatic pathology [ 1 ]. View Article Google Scholar Hashizume M, Kitano S, Yamaga H, Koyanagi N, Sugimachi K: Splenic vein thrombosis results in localized portal hypertension called sinistral portal hypertension, which may also lead to massive upper gastrointestinal bleeding. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http:

Splenic artery embolization is now varices as splenic safe and effective alternative to surgery in the management of esophageal hemorrhage from gastric vein due to splenic vein thrombosis, thrombosis often occurs in patients with hypercoagulability. Bleeding from gastric varices GVs is generally more severe than from esophageal varices [ 2 ], although it occurs less frequently [ 3 — 5 ]. We describe a patient with massive gastric variceal bleeding caused by SPH. View Article Google Scholar Hashizume M, Kitano S, Yamaga H, Koyanagi N, Sugimachi K: Partial splenic arterial embolization, which reduces blood flow through the spleen, is considered an effective alternative treatment. We describe a year-old Greek man with acute massive gastric variceal bleeding caused by splenic vein thrombosis due to a missing von Leiden here, which was successfully managed with splenic arterial embolization. Main menu Home About Articles Submission Guidelines. Prophylactic splenectomy to prevent gastric variceal hemorrhage has been recommended for patients with splenic vein thrombosis, but the benefit of splenectomy is difficult to determine. It is a novelty to apply embolotherapy to SPH. Take part in our short survey. Ultrasonography showing dilated splenic vein of our patient. Main menu Home About Articles Submission Guidelines. SP and KG were the radiologists involved. A copy of the written consent is available for review by the Editor-in-Chief of this journal. A guidewire was directed esophageal his splenic artery, and a wedge balloon catheter was passed over the guidewire using several giant Gianturco steel coils. Splenic peripheral blood vein thrombosis revealed the following: In our case, the varices varices our patient were symptomatic and presented with hematemesis. An angiography was performed using the Seldinger technique on the femoral artery of our patient. Take part in our short survey.

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Article citation Papers, Zotero, Reference Manager, RefWorks. Take part in our short survey. Login to your account Search. Bleeding from gastric varices GVs is generally more severe than from esophageal varices [ 2 ], although it occurs less frequently [ 3 — 5 ]. DP, FG and TSP received our patient in the emergency department, analyzed and interpreted his data, and drafted the manuscript. Search BioMed Central articles Search. Table of Contents Abstract Introduction Case presentation Discussion Conclusions Consent Declarations References Comments. Journal of Medical Case Reports.

Follow Follow us on Twitter Follow us on Facebook Follow us on Google Plus. This led us to consider that the enlarged varices may be secondary to splenic vein thrombosis. Interventional thrombosis esophageal techniques are attractive alternatives for varices with a high surgical risk or in cases when the immediate surgical excision of the spleen is technically difficult. Login to your account Splenic vein. Partial splenic arterial embolization, which reduces blood flow through the spleen, is considered an effective alternative treatment. PubMed Google Scholar Trudeau W, Prindiville T: Computed tomography scan presenting an enlarged spleen. Article citation Papers, Zotero, Reference Manager, RefWorks. Partial splenic arterial embolization, which reduces blood flow through the spleen, is considered an effective alternative treatment. Selective celiac angiography and superselective splenic arteriography with frontal and bilateral oblique projections were also performed. Read more on our blogs Receive BMC newsletters Manage article alerts Language editing for authors Scientific editing for authors. Management of complications of pancreatitis. AM, VNP and JP were the surgeons involved, edited the manuscript, and were the treating doctors. Splenic and portal venous obstruction in chronic pancreatitis: Written informed consent was obtained from our patient for publication of this case report and any accompanying images. PubMed Google Scholar Trudeau W, Prindiville T: Login to your account. References Papers, Zotero, Reference Manager, RefWorks. View Article PubMed Google Scholar. In the case we report here emergency gastroscopy revealed the sole existence of bleeding gastric varices. Angiography showing catheterization and embolization of the splenic artery using Gianturco steel coils. His SPH was due to blood hypercoagulability and attributed to a missing von Leiden factor FVL.

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This article has Open Peer Review reports available. Endoscopic injection sclerotherapy in patients with GVs is more difficult to perform than when esophageal varices are involved [ 16 ]. This article has Open Peer Review reports available. Endoscopic injection sclerosis in bleeding gastric varices. View Article PubMed Google Scholar Bernades P, Baetz A, Levy P, Belghiti J, Menu Y, Fekete F: SP and KG were the radiologists involved. What do you think about BMC? Splenic and portal venous obstruction in chronic pancreatitis: Factor V Leiden and other coagulation factor mutations affecting thrombotic risk.

An angiography was performed using the Seldinger technique on the femoral artery of our patient. Table of Contents Abstract Introduction Case presentation Discussion Conclusions Consent Declarations References Comments. All authors read and approved the final manuscript. Partial splenic arterial embolization, which reduces blood flow through the spleen, is considered an effective alternative treatment. An emergency endoscopy performed on our patient showed enlarged bleeding gastric varices but no esophageal varices. Gastrointestinal bleeding at varying severity anemia, hematemesis, melena, or hematochezia is the most common manifestation of this syndrome [ 9 — 12 ]. His SPH was due to blood hypercoagulability and attributed to a missing von Leiden factor FVL. More information about our cookie policy Close. We use cookies to improve your experience with our site. A copy of the written consent is available for review by the Editor-in-Chief of this journal. In a study by Sakorafas et al. Gastric varices with splenic vein occlusion treated by splenic arterial embolization. Factor V Leiden is not commonly associated with idiopathic portal vein thrombosis in southern India. An emergency endoscopy splenic vein on our patient showed enlarged bleeding gastric varices but no esophageal varices. Interventional radiological techniques are attractive alternatives for patients with a high surgical risk or in here when the immediate thrombosis esophageal excision of the spleen is technically difficult. Additionally, surgery varices not always successful because of the presence of numerous portal collaterals and adhesion. Login to your account Search. An angiography was performed using the Seldinger technique on the femoral artery of our patient. Share this article Share on Twitter Share on Facebook Share on LinkedIn Share on Weibo Share on Google Plus Share on Reddit. Search BioMed Central articles Search. A venous phase follow-up examination demonstrated that our patient had a completely occluded splenic vein.

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