Selective embolization of coronary vein of stomach —A new approach for the treatment of bleeding from esophageal varices

Abstract

Selective ernbolization of coronary vein of stomach was employed for the treatment of 222 patients with bleeding from esophageal varices due to portal hypertension. The coronary vein was separated at middle segment and tube was inserted and clamped 5 cm below and above the cardia. The γ-octyl-cyanoacrylat was used for embolization. 19 patients received preventive operation, 106 was subject to emergency surgery and 98 patients was treated by elective operation. The bleeding of all patients receiving emergency procedure was stopped. 3 died of liver failure after operation. 219 survived. 189 cases were followed up for 1–2 years and no varices was found. 182 cases followed up for 6 years revealed no relapse of bleeding. This technique could achieve good curative effect, which provides a new approach for the treatment of bleeding from esophageal varices of portal hypertension.

References

[1] MartinW R, KohlerB, RiemannJ F. Diagnostik settener Blutungsursachen am oberen gastrointestinalen Trakt. D M W, 1991, 116: 14-14

[2] HassabM A. Gastroesophageal decongestion and splenectomy in the treatment of esophageal varices in bitharcial cirrhosis: Further studies with a report on 355 operations. Surgery, 1967, 61: 169-169

[3] BurroughsA K. The management of bleeding due to portal hypertension. Part 1. The management of acute bleeding episode. Quart J Med New Ser, 1988, 67: 447-447

[4] StelznerF, LierseW. Der angiomuskulaere Dehnverschluss der terminalen Speiseroehre. Langenbecks Arch Klin Chir, 1968, 321: 35-35

[5] KaufmannT, StrohmeyerG. Einfluss der Nahrungsbeschaffenheit auf Blufungskomplikationsrate und Fruehergebnis der endoskopischen Sklerosierungsbehandlung von Oesophagusvarizen. Z Gastroentero, 1991, 29: 119-119