A case of rectal varices treated by Percutaneous transhepatic obliteration of varices (PTO)

至, 鎌田; 宜功, 藤塚; 茂, 中野; 浩一, 籾山; 基, 竹内; 正人, 片桐; 勝也, 樋上; 真司, 佐藤; 慶太, 渡邉; 英成, 永井; 学, 渡邉; 良典, 五十嵐; 泰清, 住野; 一正, 三木

doi:10.11641/pde.69.2_108

Cited by 2 publications

(2 citation statements)

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“…Various therapeutic strategies have been proposed for patients with bleeding rectal varices: endoscopic variceal ligation (EVL), endoscopic injection sclerotherapy (EIS), transjugular intrahepatic portosystemic shunting (TIPS), dual balloon‐occluded embolotherapy, percutaneous transhepatic obliteration and surgery . However, no selection criteria for these procedures have been established yet.…”

Section: Introductionmentioning

confidence: 99%

Therapeutic strategy for patients with bleeding rectal varices complicating liver cirrhosis

Yoshino

Imai

Nakazawa

et al. 2014

Hepatology Research

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Section: Introductionmentioning

confidence: 99%

Therapeutic strategy for patients with bleeding rectal varices complicating liver cirrhosis

Yoshino

Imai

Nakazawa

et al. 2014

Hepatology Research

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“…A rapid and accurate diagnosis is therefore required for patients with hemorrhaging anorectal varices; however, no therapeutic strategy has yet been established. Surgical and endoscopic ligation [7,8], endoscopic injection sclerotherapy (EIS) [9] and percutaneous transhepatic obliteration (PTO) [10] have been reported to be useful as therapeutic strategies for bleeding rectal varices. The transjugular intrahepatic portosystemic (TIPS) shunt has also been shown to attenuate the size of anorectal varices [11].…”

Section: Introductionmentioning

confidence: 99%

A case of liver cirrhosis due to hepatits C virus infection complicating giant anorectal varices treated with balloon-occluded retrograde transvenous obliteration

Watanabe

Imai

Takaya

et al. 2010

Clin J Gastroenterol

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A 73-year-old man with liver cirrhosis due to hepatitis C virus infection was admitted to our hospital because of massive bleeding from external varices. Colonoscopic examination revealed that giant anorectal varices had developed between the anus and rectal ampulla, and had ruptured at the perianal site. On three-dimensional computed tomography imaging, the feeding and drainage vessels of the varices were identified as the inferior mesenteric vein and right inferior hemorrhoidal vein, respectively. Endoscopic therapies were not employed for the bleeding varices, because the blood flow volume of the feeding vessel was extremely large. Balloon-occluded retrograde transvenous obliteration (B-RTO) was therefore carried out through the drainage vessels. The variceal blood flow disappeared after B-RTO therapy, and the varices decreased in size with thrombus formation verified by colonoscopy. Bleeding from the external varices also ceased. B-RTO therapy may be an effective approach for giant anorectal varices presenting as a complication in liver cirrhosis patients in whom the main drainage vessels can be determined.

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A case of rectal varices treated by Percutaneous transhepatic obliteration of varices (PTO)

Cited by 2 publications

References 0 publications

Therapeutic strategy for patients with bleeding rectal varices complicating liver cirrhosis

Therapeutic strategy for patients with bleeding rectal varices complicating liver cirrhosis

A case of liver cirrhosis due to hepatits C virus infection complicating giant anorectal varices treated with balloon-occluded retrograde transvenous obliteration

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