Partial splenic artery embolization is effective for bleeding gastric varices due to sinistral portal hypertension associated with pancreatic tail cancer

DOI Web Site 6 References
  • TSUTSUI Tomoaki
    Department of Gastroenterology, Japanese Red Cross Okayama Hospital
  • HARADA Ryo
    Department of Gastroenterology, Japanese Red Cross Okayama Hospital
  • AKIMOTO Yutaka
    Department of Gastroenterology, Japanese Red Cross Okayama Hospital
  • OKI Kentaro
    Department of Gastroenterology, Japanese Red Cross Okayama Hospital
  • YOSHIKAWA Tomoki
    Department of Gastroenterology, Japanese Red Cross Okayama Hospital
  • YASUI Toshihiro
    Department of Gastroenterology, Japanese Red Cross Okayama Hospital
  • AKITA Mitsuhiro
    Department of Gastroenterology, Japanese Red Cross Okayama Hospital
  • TOSHIMORI Junichi
    Department of Hepatology, Japanese Red Cross Okayama Hospital
  • INOUE Masafumi
    Department of Gastroenterology, Japanese Red Cross Okayama Hospital
  • KOBASHI Haruhiko
    Department of Hepatology, Japanese Red Cross Okayama Hospital

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Other Title
  • 膵尾部癌に合併した左側門脈圧亢進症に伴う胃静脈瘤破裂に部分的脾動脈塞栓術が有効であった1例

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<p>A 49-year-old man was treated with FOLFIRINOX (5-fluorouracil, oxaliplatin, irinotecan, and leucovorin) for pancreatic tail cancer with multiple liver metastases, and had a partial response. However, bleeding gastric varices due to sinistral portal hypertension associated with pancreatic tail cancer developed. While repeated endoscopic variceal ligation and endoscopic injection sclerotherapy were performed, the gastric variceal bleeding was difficult to manage endoscopically. Therefore, partial splenic artery embolization (PSE) was performed to treat the bleeding gastric varices, with control of the bleeding. Compared with splenectomy, PSE is less invasive and can be performed with short-term interruption of chemotherapy. PSE is considered effective to control gastric variceal bleeding in patients with bleeding due to left portal hypertension.</p>

Journal

  • Suizo

    Suizo 37 (4), 166-174, 2022-08-31

    Japan Pancreas Society

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