A Case of Alcoholic Cirrhosis Syndrome that was Successfully treated with Baloon Occluded Retrograde Transvenous Obliteration, Transcatheter Arterial Chemo-Embolizaition and Nutrition

Nagai Shintaro, Matuoka Shuniti, Ryuzaki Hitomi, Abe Masahisa, Moriyama Mituhiko, Ishigami Terunobu, Fujikawa Tosihiro, Miyagawa Masahide

doi:10.4264/numa.68.204

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バルーン閉塞下逆行性経静脈的側副血行路塞栓術，肝動脈塞栓術，栄養学的治療などの集学的肝臓治療により良好に経過しているアルコール性肝硬変症の一例
症例報告バルーン閉塞下逆行性経静脈的側副血行路塞栓術,肝動脈塞栓術,栄養学的治療などの集学的肝臓治療により良好に経過しているアルコール性肝硬変症の一例
ショウレイホウコクバルーンヘイソクカギャッコウセイケイジョウミャクテキソクフクケッコウロソクセンジュツカンドウミャクソクセンジュツエイヨウガクテキチリョウナドノシュウガクテキカンゾウチリョウニヨリリョウコウニケイカシテイルアルコールセイカンコウヘンショウノ 1レイ

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Abstract

This was a case of a 60-year-old man who was negative for hepatitis-B and -C and exhibited alcoholic cirrhosis syndromes. He was transported due to solitary rapture of gastric varices. Initially, the bleeding was prevented by an emergency endoscopy and his life was saved. We decided that balloon-occluded retrograde transvenous obliteration (B-RTO) was effective because stomach-renal shunt was described by MRA. The state of liver cirrhosis was Child-Pugh B, and liver damage was B in the cirrhosis classification and the hepatocellular carcinoma was complicated (liver S4 frequent occurrence and Stage 2). We allowed the patient to eat early on and treated him with branched-chain amino acids (BCAA) and zinc to stabilize the liver spare function after stopping bleeding. We then selected transcatheter arterial chemo-embolization (TACE) to treat the HCC after we cured the gastric varices by B-RTO. Since the initial treatment was performed and more than one year has been passed, gastric varices continued to disappear, the liver cirrhosis remains stable, and the HCC has been completely responsive.

Journal

Journal of Nihon University Medical Association

Journal of Nihon University Medical Association 68 (3), 204-210, 2009

NIHON UNIVERSITY MEDICAL ASSOCIATION

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