Embolization therapy for bleeding from jejunal loop varices due to extrahepatic portal vein obstruction.
Four patients underwent embolization therapy for hemorrhage from varices in the jejunal loop after choledochojejunostomy existing in hepatopetal collateral veins due to chronic extrahepatic portal vein obstruction through the afferent veins using microcoils and/or n-butyl cyanoacrylate. In all four patients, all afferent veins were successfully embolized and successful hemostasis was achieved without liver dysfunction. However, recurrence of the varices and rebleeding occurred within a year in two patients. Embolization for hemorrhage from varices in the jejunal loop after choledochojejunostomy through afferent veins is acceptable in terms of safety and is useful to achieve hemostasis in emergency circumstances.
a 1 Department of Diagnostic Radiology, Institute and Graduate School of Biomedical Sciences, Hiroshima University , Hiroshima, Japan.|b 2 Department of Radiology, Kochi University , Kochi, Japan.
Rika
R
Yoshimatsu
a 1 Department of Diagnostic Radiology, Institute and Graduate School of Biomedical Sciences, Hiroshima University , Hiroshima, Japan.|b 2 Department of Radiology, Kochi University , Kochi, Japan.
Takuji
T
Yamagami
a 1 Department of Diagnostic Radiology, Institute and Graduate School of Biomedical Sciences, Hiroshima University , Hiroshima, Japan.
Masaki
M
Ishikawa
a 1 Department of Diagnostic Radiology, Institute and Graduate School of Biomedical Sciences, Hiroshima University , Hiroshima, Japan.
Kenji
K
Kajiwara
c 3 Department of Radiology, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital , Hiroshima, Japan.
Hideaki
H
Kakizawa
d 4 Department of Pediatric Surgery, Institute and Graduate School of Biomedical Sciences, Hiroshima University , Hiroshima, Japan.
Eiso
E
Hiyama
e 5 Department of Surgery, Division of Frontier Medical Science, Institute and Graduate School of Biomedical Sciences, Hiroshima University , Hiroshima, Japan.
Hirotaka
H
Tashiro
f 6 Department of Surgery, Division of Clinical Medical Science, Institute and Graduate School of Biomedical Sciences, Hiroshima University , Hiroshima, Japan.
Yoshiaki
Y
Murakami
g 7 Department of Surgery, Division of Colon and Rectal Surgery, Institute and Graduate School of Biomedical Sciences, Hiroshima University , Hiroshima, Japan.
Hiroki
H
Ohge
a 1 Department of Diagnostic Radiology, Institute and Graduate School of Biomedical Sciences, Hiroshima University , Hiroshima, Japan.
Kazuo
K
Awai
D000368:Aged; D002768:Choledochostomy / Q000009:adverse effects; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods*; D004659:Enbucrilate; D005260:Female; D006801:Humans; D007583:Jejunum / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000503:physiopathology*; D014648:Varicose Veins / Q000209:etiology / Q000628:therapy*; D055815:Young Adult
D004659:Enbucrilate
Embolization; choledochojejunostomy; hepatopetal collaterals; jejunal varices; portal hypertension