| Item type |
紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2012-11-30 |
| タイトル |
|
|
タイトル |
A case of ruptured duodenal varices treated successfully by endoscopic injection sclerotherapy under radiographic guidance with a mixture of N-butyl-2-cyanoacrylate-lipiodol |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
duodenal varices |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
endoscopic injection sclerotherapy |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
N-butyl-2-cyanoacrylate |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
lipiodol |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 著者 |
Takamatsu, Toru
Ootake, Haruka
Uehara, Takeshi
Shindou, Yuji
Ikeya, Takashi
Toukai, Kouichi
Ikeda, Masatoshi
Ushimaru, Shinya
Asano, Takeharu
Matsumoto, Satohiro
Iwaki, Takaaki
Fukunishi, Masanori
Sagihara, Noriyoshi
Asabe, Shinichi
Miyatani, Hiroyuki
Yoshida, Yukio
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
While guidelines have been established for the treatment of esophageal and gastric varices, there is as yet no consensus with regard to the optimal method of treatment of ectopic varices. We report a case of ruptured duodenal varices treated successfully by endoscopic injection sclerotherapy（EIS） under radiographic guidance with a mixture of Nbutyl-2-cyanoacrylate（NBCA）-lipiodol. A 73-year-old female patient with a history of liver cirrhosis was transferred to our hospital for the treatment of ruptured duodenal varices.
Esophagogastroduodenoscopy（EGD） revealed distended duodenal varices with a mucosal erosion and a coagulum in the descending portion of the duodenum. Dynamic contrastenhanced computed tomography（CT） of the abdomen revealed duodenal varices arising from the pancreaticoduodenal vein, being a branch of the superior mesenteric vein, the efferent vessel draining through the veins of Retzius. A total of 6 mL of an NBCA + lipiodol mixture（mixing ratio, 3:1） was injected into 3 sites of the duodenal varices via a 23-gauge disposable injection needle. Radiographic imaging during the EIS demonstrated that the NBCA + lipiodol mixture had reached the distended veins connected to the duodenal varices.
At the follow-up CT conducted 6 days after the EIS, the duodenal varices with its collateral vessels were almost completely obliterated by the NBCA + lipiodol mixture. Even a single EIS session eradicated the varices almost completely without any complications.
EIS under radiographic guidance using a mixture of NBCA-lipiodol （75%NBCA） is an effective method of treatment of duodenal varices in hemorrhagic or elective cases. |
| 書誌情報 |
自治医科大学紀要
en : Jichi Medical University Journal
巻 34,
p. 87-95,
発行日 2012-03
|
| 出版者 |
|
|
出版者 |
自治医科大学 |
| ISSN |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
1881-252X |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11819432 |
p87-95 (603.0 kB)
.png)
