title: [Hemorrhage from varices of an interposed jejunum after choledochojejunostomy successfully treated by transileocolic vein obliteration].
abstract: A 72-year-old man was admitted to our hospital with refractory gastrointestinal bleeding. He received extrahepatic bile duct resection, hepaticojejunostomy and pancreatojejunostomy for bile duct stenosis and pancreatic pseudocyst 6 approximately 8years ago. We revealed that the cause of shock state was bleeding from varices of an interposed jejunum and portal vein obstruction as a complication of these operations. He received transileocolic vein obliteration with coils. Refractory gastrointestinal bleeding stopped. We concluded that this obliteration was effective and useful treatment for this complication.
authors.affiliation: First Department of Internal Medicine, Sapporo Medical University.
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Akutsu
authors.forename: Hideyasu
authors.initials: H
authors.lastname: Takagi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Shigeru
authors.initials: S
authors.lastname: Sasaki
authors.forename: Yasutoshi
authors.initials: Y
authors.lastname: Kimura
authors.forename: Kouichi
authors.initials: K
authors.lastname: Hirata
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Adachi
authors.forename: Takao
authors.initials: T
authors.lastname: Endo
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Kato
authors.forename: Kohzoh
authors.initials: K
authors.lastname: Imai
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Shinomura
mesh_terms: D000368:Aged; D017734:Bile Ducts, Extrahepatic / Q000473:pathology / Q000601:surgery; D002768:Choledochostomy; D003106:Colon / Q000098:blood supply; D003251:Constriction, Pathologic / Q000601:surgery; D004621:Embolization, Therapeutic / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D006801:Humans; D007082:Ileum / Q000098:blood supply; D007583:Jejunum / Q000098:blood supply*; D008297:Male; D010192:Pancreatic Pseudocyst / Q000601:surgery; D011183:Postoperative Complications / Q000628:therapy*; D016896:Treatment Outcome; D014648:Varicose Veins / Q000628:therapy*; D014680:Veins