Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy

Shaojie Wu; Yicheng Wu; Yanfu Shen; Senlin Cai; Yanfeng Zhou; Haotian Zheng; Zhuting Fang

Journal of Interventional Medicine (Nov 2019)

Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy

Shaojie Wu,
Yicheng Wu,
Yanfu Shen,
Senlin Cai,
Yanfeng Zhou,
Haotian Zheng,
Zhuting Fang

Affiliations

Shaojie Wu: Department of Interventional Radiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, China
Yicheng Wu: Department of Geriatrics, Fujian Provincial Hospital, Fujian Provincial Center for Geriatrics, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, China
Yanfu Shen: Department of Radiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, China
Senlin Cai: Department of Interventional Radiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, China
Yanfeng Zhou: Department of Interventional Radiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, China
Haotian Zheng: Department of Geriatrics, Fujian Provincial Hospital, Fujian Provincial Center for Geriatrics, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, China
Zhuting Fang: Department of Interventional Radiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, China; Corresponding author.

Journal volume & issue: Vol. 2, no. 4
pp. 181 – 183

Abstract

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A 64-year-old man was admitted to our hospital with hematemesis and melena. Six years ago, he had undergone total gastrectomy with Roux-en-Y esophagojejunostomy for gastric cancer. Endoscopic examination revealed varicose veins at the anastomotic sites with cherry-red spots and hemorrhage. Abdominal computed tomography showed that the varices were supplied by a dilated jejunal vein. Transjugular intrahepatic portosystemic shunt (TIPS) and variceal embolization were performed. There were no major complications or episodes of bleeding during the three-month follow-up. We conclude that TIPS in combination with varices obliteration is an effective alternative method for treatment of ruptured esophagojejunal varices after total gastrectomy. Keywords: Esophagojejunal varices, Transjugular intrahepatic portosystemic shunt, Varices obliteration, Total gastrectomy

Published in Journal of Interventional Medicine

ISSN: 2096-3602 (Print); 2590-0293 (Online)
Publisher: KeAi Communications Co., Ltd.
Country of publisher: China
LCC subjects: Medicine
Website: https://www.keaipublishing.com/en/journals/journal-of-interventional-medicine/

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