Percutaneous transsplenic varices embolization in treatment of upper gas-trointestinal hemorrhage of schistosomiasis cirrhosis
10.16250/j.32.1374.2016257
- VernacularTitle:经皮穿脾食管胃底静脉栓塞术治疗血吸虫病上消化道出血
- Author:
Changxue JI
;
Ying LI
;
Shuai JU
;
Jinwei QIANG
- Keywords:
Schistosomiasis cirrhosis;
Percutaneous transsplenic varices embolization(PTSVE);
Upper gastrointestinal hemorrhage;
Portal hypertension;
Esophageal and gastric varices;
Embolization
- From:
Chinese Journal of Schistosomiasis Control
2017;29(3):349-351
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application value of percutaneous transsplenic varices embolization(PTSVE)in the treatment of upper gastrointestinal hemorrhage in patients with schistosomiasis cirrhosis. Methods Sixteen schistosomiasis cir-rhosis patients(12 males and 4 females)with portal hypertension complicated with esophageal and upper gastrointestinal hemor-rhage were selected as the investigation subjects,all the patients had been treated by esophageal vein ligation and sclerothera-py,but with bleeding again post-operation. The patients were treated by PTSVE under the guidance of X-ray fluoroscopy. The success rate of PTSVE and the rate of complications were observed. In addition,the patients received PTSVE were reexamined with abdominal CT one month post-operation,and the degrees of varices were compared before and after PTSVE. Results Four-teen cases(87.50%)were successfully treated with PTSVE. Two cases(12.50%)failed,and one case had an abdominal bleed-ing 1 week post-operation. The abdominal CT showed the degrees of esophageal varices(P < 0.001),esophageal vein(P <0.001)and gastric varices(P < 0.001)were significantly decreased in the patients who received PTSVE one month after the op-eration. Conclusions PTSVE is a safe and effective method in the treatment of upper gastrointestinal hemorrhage in the pa-tients with schistosomiasis cirrhosis. PTSVE is especially suitable for the patients with severe liver cirrhosis,significantly bor-dered liver split,and bared main portal vein and even the branches.
