위정맥류 출혈환자에서 내시경적 정맥류 폐색술 후 발생한 간문맥 및 비장정맥 폐색 1례
- Journal Title
- Keimyung Medical Journal
- Issued Date
- Gastric variceal bleeding; HistoacrylⓇ; Portal vein occlusion; Splenic vein occlusion
- Acute gastric variceal bleeding is one of the most serious complications in portal hypertension, and is associated with high mortality and morbidity. Endoscopic variceal obturation (EVO) using Histoacrylⓡ (n-butyl-2-cyanoacrylate) has been accepted as an effective hemostatic procedure in acute gastric variceal bleeding. However, EVO is not a widely performed because of technical difficulties and complications such as mucosal ulceration, perforation, and systemic embolism.
Herein, we report a patient who developed hepatic failure caused by portal vein occlusion by Histoacrylⓡ injection for management of gastric variceal bleeding.
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