Value of balloon closure combined with endoscopic therapy for gastric varices with portasystemic shunt
10.3760/cma.j.issn.1007-5232.2017.08.005
- VernacularTitle:球囊栓堵联合内镜治疗合并门体分流道的胃静脉曲张
- Author:
Zhandi HE
1
;
Yingdi LIU
;
Lailin FU
;
Bo LIU
;
Guohui SUN
;
Juan WANG
;
Gang SUN
;
Enqiang LINGHU
Author Information
1. 解放军总医院消化内科
- Keywords:
Endoscopes;
Esophageal and gastric varices;
Balloon embolization;
Portasystemic shunt
- From:
Chinese Journal of Digestive Endoscopy
2017;34(8):560-562
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of balloon closure combined with endoscopic therapy on spontaneous gastrorenal shunt ( SGRS ) and spontaneous splenorenal shunt ( SSRS ) . Methods The data of 33 patients of gastric varices with SGRS or SSRS diagnosed in the Chinese PLA General Hospital between January 2009 and February 2016 were collected. All patients were treated with the balloon retrograde distributary channel blocking technique and endoscopic histoacryl injection. Patients' clinical data, complications and effect of endoscopic therapy were retrospectively analyzed. Results In the 33 patients of gastric varices, gastrorenal shunt was found in 28 ( 84. 8%) cases and splenorenal shunt was found in 5 ( 15. 2%) cases. After the balloon blocking technique, 24 cases ( 72. 7%) were occluded successfully. Four cases failed in occlusion of SSRS due to tortuosity. There were no postoperative ectopic embolism, infection, hepatic encephalopathy, liver function deterioration, and other complication. Early latex varices were found in 21 cases after three months follow-up. Conclusion The balloon blocking technique combined with tissue adhesive injection could safely and effectively avoid the risk of ectopic embolism and plays an important role in the treatment of gastric varices in merger portasystemic shunt.
