Transportal intravariceal sclerotherapy with N-butyl-2-cyanoacrylate for gastric varices.
Four patients with gastric varices without catheterizable draining veins through a systemic vein were treated with transportal intravariceal sclerotherapy with n-butyl-2-cyanoacrylate (NBCA). In all patients, the gastric varices were successfully obliterated with 2-5 mL of NBCA-lipiodol mixture injected via a microcatheter introduced into the varices with transhepatic or transileocolic portal venous access. No complications related to the procedure were encountered. Follow-up gastroendoscopy showed disappearance (n = 3) or marked decrease (n = 1) of the varices. Neither recurrent gastric varices nor variceal bleeding were observed during the follow-up period (6-46 months). Transportal intravariceal sclerotherapy is useful for obliteration of gastric varices in selected cases.
Kiyosue
Hiro
H
Department of Radiology, Oita Medical University, 1-1 Hasama, Oita, 879 to 55, Japan. hkiyosue@med.oita-u.ac.jp
Matsumoto
Shunro
S
Yamada
Yasunari
Y
Hori
Yuzo
Y
Okino
Yuriko
Y
Okahara
Mika
M
Mori
Hiromu
H
D000328:Adult; D000368:Aged; D001663:Bilirubin / Q000032:analysis; D001794:Blood Pressure / Q000502:physiology; D004396:Coloring Agents; D004659:Enbucrilate / Q000031:analogs & derivatives* / Q000627:therapeutic use*; D004932:Esophageal and Gastric Varices / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006526:Hepatitis C / Q000150:complications; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008103:Liver Cirrhosis / Q000150:complications; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D008488:Medical Illustration; D008875:Middle Aged; D009930:Organic Chemicals; D015911:Sclerotherapy / Q000379:methods*; D013270:Stomach / Q000098:blood supply / Q000000981:diagnostic imaging; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D004396:Coloring Agents; D009930:Organic Chemicals; D014014:Tissue Adhesives; C035709:iodocyanine green; D004659:Enbucrilate; D001663:Bilirubin