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

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...

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Main Authors:	Shaojie Wu, Yicheng Wu, Yanfu Shen, Senlin Cai, Yanfeng Zhou, Haotian Zheng, Zhuting Fang
Format:	Article
Language:	English
Published:	KeAi Communications Co., Ltd. 2019-11-01
Series:	Journal of Interventional Medicine
Online Access:	http://www.sciencedirect.com/science/article/pii/S209636021930122X

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spelling	doaj-6e344e29f8fd4cb2a449f6f7ff5b879d2020-11-25T02:30:46ZengKeAi Communications Co., Ltd.Journal of Interventional Medicine2096-36022019-11-0124181183Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomyShaojie Wu0Yicheng Wu1Yanfu Shen2Senlin Cai3Yanfeng Zhou4Haotian Zheng5Zhuting Fang6Department of Interventional Radiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, ChinaDepartment of Geriatrics, Fujian Provincial Hospital, Fujian Provincial Center for Geriatrics, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, ChinaDepartment of Radiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, ChinaDepartment of Interventional Radiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, ChinaDepartment of Interventional Radiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, ChinaDepartment of Geriatrics, Fujian Provincial Hospital, Fujian Provincial Center for Geriatrics, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, ChinaDepartment of Interventional Radiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie Road, Fuzhou, 350001, China; Corresponding author.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 gastrectomyhttp://www.sciencedirect.com/science/article/pii/S209636021930122X
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Shaojie Wu Yicheng Wu Yanfu Shen Senlin Cai Yanfeng Zhou Haotian Zheng Zhuting Fang
spellingShingle	Shaojie Wu Yicheng Wu Yanfu Shen Senlin Cai Yanfeng Zhou Haotian Zheng Zhuting Fang Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy Journal of Interventional Medicine
author_facet	Shaojie Wu Yicheng Wu Yanfu Shen Senlin Cai Yanfeng Zhou Haotian Zheng Zhuting Fang
author_sort	Shaojie Wu
title	Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
title_short	Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
title_full	Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
title_fullStr	Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
title_full_unstemmed	Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
title_sort	transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy
publisher	KeAi Communications Co., Ltd.
series	Journal of Interventional Medicine
issn	2096-3602
publishDate	2019-11-01
description	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
url	http://www.sciencedirect.com/science/article/pii/S209636021930122X
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Transjugular intrahepatic portosystemic shunt plus embolization for bleeding esophagojejunal varices after total gastrectomy

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