A CASE OF A RUPTURED GASTRIC VARIX IN THE STOMACH DEVELOPING INTO AN ISCHEMIC GASTRIC MUCOSAL LESION AFTER ENDOSCOPIC SCLEROTHERAPY

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  • 硬化療法後に虚血性胃粘膜病変をきたした残胃静脈瘤破裂の1例

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Abstract

The patient was a 76-year-old man with a chief complaint of hematemesis. He had undergone Billroth I reconstruction for a duodenal ulcer at age 40. He received endoscopic variceal ligation for ruptured gastric varices in the stomach at a local municipal hospital. On the same day, he was referred to our department due to unstable physical condition. We additionally performed endoscopic sclerotherapy with 75% cyanoacrylate (CA). Although hemostasis was confirmed endoscopically the next day, ischemic and erosive changes were observed concentrically around the treated site in the lesser curvature of the stomach involving the anastomotic site. On the 5th hospital day, endoscopy revealed the lesion had become ulcerated. However, resolution of the residual gastric varix was confirmed, and oral ingestion became possible. Thus, the patient was transferred to the previous municipal hospital 12 days after admission to our facility.

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