Transcatheter embolization for stomal varices: A report of three patients

Masanori Ozaki, MD; Atsushi Jogo, PhD; Akira Yamamoto, PhD; Toshio Kaminou, PhD; Masao Hamuro, PhD; Etsuji Sohgawa, PhD; Ken Kageyama, PhD; Satoyuki Ogawa, MD; Kazuki Murai, MD; Takehito Nota, MD; Hiroki Yonezawa, MD; Yukio Miki, PhD

Radiology Case Reports (Apr 2021)

Transcatheter embolization for stomal varices: A report of three patients

Masanori Ozaki, MD,
Atsushi Jogo, PhD,
Akira Yamamoto, PhD,
Toshio Kaminou, PhD,
Masao Hamuro, PhD,
Etsuji Sohgawa, PhD,
Ken Kageyama, PhD,
Satoyuki Ogawa, MD,
Kazuki Murai, MD,
Takehito Nota, MD,
Hiroki Yonezawa, MD,
Yukio Miki, PhD

Affiliations

Masanori Ozaki, MD: Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka City, Osaka 545-8585, Japan; Department of Radiology, Tsukazaki Hospital, Himeji, Hyogo, Japan; Corresponding author.
Atsushi Jogo, PhD: Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka City, Osaka 545-8585, Japan
Akira Yamamoto, PhD: Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka City, Osaka 545-8585, Japan
Toshio Kaminou, PhD: Department of Radiology, Tsukazaki Hospital, Himeji, Hyogo, Japan
Masao Hamuro, PhD: Department of Radiology, Izumiotsu Municipal Hospital, Osaka, Japan
Etsuji Sohgawa, PhD: Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka City, Osaka 545-8585, Japan
Ken Kageyama, PhD: Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka City, Osaka 545-8585, Japan
Satoyuki Ogawa, MD: Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka City, Osaka 545-8585, Japan
Kazuki Murai, MD: Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka City, Osaka 545-8585, Japan
Takehito Nota, MD: Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka City, Osaka 545-8585, Japan
Hiroki Yonezawa, MD: Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka City, Osaka 545-8585, Japan
Yukio Miki, PhD: Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka City, Osaka 545-8585, Japan

Journal volume & issue: Vol. 16, no. 4
pp. 801 – 806

Abstract

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Stomal varices are rare and ectopic varices defined as dilated portosystemic collateral veins located in sites other than the gastro-esophageal region. These sometimes cause recurrent bleedings and can be life-threatening. Optimal treatments have yet to be established. We report 3 cases of repetitive bleeding stomal varices in which resolution of bleeding was obtained over the medium term with minimally invasive approaches including balloon-occluded retrograde transvenous obliteration and variceal embolization by ultrasound-guided direct puncture. Rebleeding did not occur in any patients within 2-15 months of follow-up. Serious complications over Clavien-Dindo grade I were not found.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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