Giant gastric varices after a left gastric venous caval shunt operation for esophageal varices: a case report.
A Japanese woman, who had undergone a left gastric venous caval shunt operation for esophageal varices 17 years earlier, was admitted to our hospital because of bleeding from giant gastric varices. An angiographic examination revealed a stealing of the portal blood flow to the inferior vena cava through both a dilated right gastroepiploic vein and a right gastric vein via the left gastric venous caval shunt. The gastric varices disappeared after obliterating both the feeding and drainage vessels by means of intervention radiology. We thus, consider the occlusion of both the afferent and efferent vessels to be an effective treatment for gastric varices.
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
H
H
Saeki
M
M
Hashizume
K
K
Yanaga
M
M
Ohta
H
H
Kawanaka
F
F
Kishihara
Y
Y
Tsugawa
S
S
Migo
K
K
Sugimachi
D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D004932:Esophageal and Gastric Varices / Q000209:etiology* / Q000601:surgery* / Q000628:therapy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D014684:Venae Cavae / Q000601:surgery*