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( Ha Yan Kang ),( Won Kyung Lee ),( Yong Hyun Kim ),( Byung Woon Kwon ),( Myung Soo Kang ),( Suk Bae Kim ),( Ii Han Song ) 대한간학회 2011 Clinical and Molecular Hepatology(대한간학회지) Vol.17 No.2
Duodenal varices result from retroperitoneal portosystemic shunts that usually come from the pancreaticoduodenal vein and drain into the inferior vena cava. Because they are a rare but fatal cause of gastrointestinal bleeding, a prompt hemostatic intervention is mandatory. A 62-year-old man who had a history of excessive alcohol consumption presented with massive hematemesis and melena. Emergent endoscopy revealed ruptured varices with an adhering whitish fibrin clot on the postbulbar portion of the duodenum. Abdominal computed tomography demonstrated a cirrhotic liver with venous collaterals around the duodenum and extravasated contrast in the second and third portions. The collaterals originated from the main portal vein and drained via the right renal vein into the inferior vena cava. Endoscopic injection sclerotherapy with cyanoacrylate was successful in achieving hemostasis, and resulted in the near eradication of duodenal varices at a 6-month follow-up.
강하얀,이원경,김용현,권병운,강명수,김석배,송일한 대한간학회 2011 Clinical and Molecular Hepatology(대한간학회지) Vol.17 No.2
Duodenal varices result from retroperitoneal portosystemic shunts that usually come from the pancreaticoduodenal vein and drain into the inferior vena cava. Because they are a rare but fatal cause of gastrointestinal bleeding, a prompt hemostatic intervention is mandatory. A 62-year-old man who had a history of excessive alcohol consumption presented with massive hematemesis and melena. Emergent endoscopy revealed ruptured varices with an adhering whitish fibrin clot on the postbulbar portion of the duodenum. Abdominal computed tomography demonstrated a cirrhotic liver with venous collaterals around the duodenum and extravasated contrast in the second and third portions. The collaterals originated from the main portal vein and drained via the right renal vein into the inferior vena cava. Endoscopic injection sclerotherapy with cyanoacrylate was successful in achieving hemostasis, and resulted in the near eradication of duodenal varices at a 6-month follow-up.
내시경 경화요법 후 합병된 문맥 및 장간막정맥 혈전증 1예
고석찬,김봉룡,장유현,김장언,김윤정,이승준,이성태,이향임 대한소화기내시경학회 2010 Clinical Endoscopy Vol.41 No.5
내시경 경화요법은 주입된 경화제에 의해 문맥 및 장간막정맥에 급성 혈전증을 유발 할 수 있으므로 특히 이식혈관의 개통성이 중요시 되고 있는 간이식을 염두에 두고 있는 말기 간질환 환자의 식도정맥류 출혈에서는 가급적 식도정맥류 결찰술과 같은 내시경 지혈술을 사용해야 한다. 저자들은 식도정맥류 출혈로 내원한 알코올성 간경화 환자에서 식도정맥류 출혈에 대한 내시경 경화요법 시행 후 발생한 급성 문맥 및 장간막정맥 혈전증에 의한 소장경색을 경험하여 문헌 고찰과 함께 보고한다. Endoscopic injection sclerotherapy is an effective and relatively safe modality for controlling bleeding esophageal varices. Injection of sclerosant causes acute mural thrombosis with a necroinflammatory response and subsequent sclerosis in the venous system of the distal esophagus. A few cases of mesenteric venous thrombosis with small bowel infarction after sclerotherapy have been reported, and most of which were fatal. The association between mesenteric venous thrombosis and sclerotherapy has been strongly suggested, but this still remains unproved. We report here on a case of mesenteric venous thrombosis with small bowel infarction that developed after endoscopic injection sclerotherapy.
내시경적 경화요법 후 문맥체순환계 측부 혈관의 변화에 대한 분석: 자기공명 혈관조영술을 이용한 연구
박철희 ( Chul Hee Park ),전훈재 ( Hoon Jai Chun ),정록선 ( Rok Sun Jeong ),김경오 ( Kyung Ho Kim ),김용식 ( Yong Sik Kim ),김영선 ( Young Sun Kim ),진윤태 ( Yoon Tae Jeen ),이홍식 ( Hong Sik Lee ),엄순호 ( Soon Ho Um ),이상우 ( Sa 대한내과학회 2003 대한내과학회지 Vol.64 No.4
Background : This study was aimed at evaluating the changes of collateral circulation, using MR angiography (MRA), which is a non-invasive and a useful tool for viewing the porto-systemic circulation as a whole, following endoscopic injection sclerotherap
A case report of bleeding from duodenal varices treated with percutaneous transhepatic obliteration
Ji Hyun Lee,Tae Hwan Kim,Jong Won Choi,Sun Young Kim,Jin Young Choi,Chun Kyon Lee,Byung Kyu Park,Jae Bok Chung 소화기인터벤션의학회 2019 International journal of gastrointestinal interven Vol.8 No.4
Duodenal varices are ectopic in nature and account for 40% of all ectopic bleeding cases. Ectopic variceal bleeding is rare (1%–5% of all variceal bleeding cases). The three principle approaches used to treat duodenal varices are endoscopic procedures, interventional radiological methods, and surgical interventions. A 59-year-old male with alcoholic liver cirrhosis and chronic hepatitis B infection visited our gastroenterology department with melena. Gastroduodenoscopy and computed tomography identified varices in the second part of the duodenum. We performed percutaneous transhepatic obliteration using glue and coil embolization, which obliterated the varices and resulted in immediate hemostasis. However, 3 months later, he re-visited presenting with newly developed duodenal varices and underwent endoscopic injection sclerotherapy.
A case report of bleeding from duodenal varices treated with percutaneous transhepatic obliteration
Ji Hyun Lee,Tae Hwan Kim,Jong Won Choi,Sun Young Kim,Jin Young Choi,Chun Kyon Lee,Byung Kyu Park,Jae Bok Chung 소화기인터벤션의학회 2019 Gastrointestinal Intervention Vol.8 No.4
Duodenal varices are ectopic in nature and account for 40% of all ectopic bleeding cases. Ectopic variceal bleeding is rare (1%–5% of all variceal bleeding cases). The three principle approaches used to treat duodenal varices are endoscopic procedures, interventional radiological methods, and surgical interventions. A 59-year-old male with alcoholic liver cirrhosis and chronic hepatitis B infection visited our gastroenterology department with melena. Gastroduodenoscopy and computed tomography identified varices in the second part of the duodenum. We performed percutaneous transhepatic obliteration using glue and coil embolization, which obliterated the varices and resulted in immediate hemostasis. However, 3 months later, he re-visited presenting with newly developed duodenal varices and underwent endoscopic injection sclerotherapy.
식도정맥류 출혈의 내시경적 경화요법에 관한 임상적 고찰
송일한(Il Han Song),김병호(Byung Ho Kim),동석호(Seok Ho Dong),김효종(Hyo Jong Kim),장영운(Young Woon Chang),이정일(Jung Il Lee),장린(Rin Chang) 대한내과학회 1995 대한내과학회지 Vol.49 No.3
Objectives: Esophageal variceal bleeding is the most life threatening complication in patients with portal hypertension secondary to chronic liver disease. Recently, endoscopic injection sclerotherapy is in worldwide use as the treatment of choice for active bleeding of esophageal varices, But there is no standard results due to the different techniques used and follow up systems. Methods: To assess the effect of endoscopic injection sclerotherapy, clinical characteristics of the patients, number of sclerotherapy and amount of sclerosant, bleeding control of urgent sclerotherapy, number of varix eradication and rebleeding, complicatio, mortality and causes of death, and survival time were evaluated in 113 pathents (urgent:51 cases, elective.62 cases) with esophageal variceal bleeding during follow up period. Results: 1) Present variceal bleeding was controlled in 42 (82.4%) of 51 urgent patients. 2) Esophageal varices were eradicated in 23 (45.1%) of urgent patients, in 39(62.9%) of elective patients: the mean number of session was 4.2, 5.1, respectively. 3) The number of paients with rebleeding was 18 (35.3%) of urgent, 25 (40.3%) of elective patients. 4) There were complications, in frequent order, substernal pain (55.8%), esophageal ulcer(38.9%), esophageal stenosis (2.7%), and esophageal perforation (1.8%), aspiration pneumania (1.8%), mediastinitis (0.9%). 5) Mortality rate of urgent, elective patients was 56.9%, 25.8%, respectively. Causes of death were varix rebleeding, hepatoma, hepatic failure in urgent cases, whereas they were hepatic failure, varix rebleeding, hepatoma in elective case, in order. 6) Median survival was shorter in patients with urgent case, high Child-Pugh classification grade, hepatoma than with elective case, low Child-Pugh classification grade, without hepatoma. Conclusion: Endoscopic injection sclerotherapy is first line therapy in patients with urgent esophageal variceal bleeding, but for the long term prevention of variceal rebleeding and improvement of survival, the hemodynamic status of patients, degree of Child-Pugh classification, presence or absence of hepatoma, indication of sclerotherapy (urgent, elective) should be considered.
위정맥류에 대한 내시경적 결찰경화요법의 효과 -10년 시술 예의 분석-
박철희 ( Park Cheol Hui ),전훈재 ( Jeon Hun Jae ),정록선 ( Jeong Log Seon ),김경오 ( Kim Gyeong O ),김용식 ( Kim Yong Sig ),김영선 ( Kim Yeong Seon ),진윤태 ( Jin Yun Tae ),이홍식 ( Lee Hong Sig ),엄순호 ( Eom Sun Ho ),이상우 ( Le 대한내과학회 2003 대한내과학회지 Vol.65 No.2
Background : The aim of this study is to evaluate the long-term clinical outcome, rebleeding rate, and recurrence rate of endoscopic variceal ligation injection sclerotherapy (EVLIS) for gastric varices. Methods : 302 cases were chosen from patients treat