A Case of Gastric Variceal Bleeding Controlled by Percutaneous Tranhepatic Glue Embolization.
- Author:
Chang Jae HUR
1
;
Wang Yong CHOI
;
Eu Gene HAN
;
Byoung Kuk JANG
;
Jae Seok HWANG
;
Woo Jin CHUNG
Author Information
1. Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea. chung50@dsmc.or.kr
- Publication Type:Original Article
- Keywords:
Gastric varix;
Percutaneous transhepatic glue embolization
- MeSH:
Adhesives*;
Catheterization;
Catheters;
Esophageal and Gastric Varices*;
Female;
Hematemesis;
Hemorrhage;
Humans;
Hypovolemia;
Incidence;
Mortality;
Shock
- From:Keimyung Medical Journal
2014;33(2):146-151
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastric variceal bleeding has relatively low incidence rate compared to esophageal variceal bleeding. However, gastric variceal bleeding tends to lead to a massive bleeding and rebleeding which in turn leads to high mortality rate. In cases where endoscopic approach is limited, Ballon-occluded retrograde transvenous obliteration (BRTO) could be considered as a next modality of seizing acute bleeding. Venous catheterization should be preceded to perform venous embolization, however, in cases of hypovolemic shock status, alternative approaches are required. We are reporting a case of 60-year old female with hypovolemic status due to a massive hematemesis, who went through a percutaneous transhepatic glue embolization to control gastric variceal bleeding.
