Transparaumbilical Intravariceal Sclerotherapy for Duodenal Varices Using Outflow Embolization

Maciej Pas,Atsushi Jogo,Akira Yamamoto,Ken Kageyama,Etsuji Sohgawa, Tatsushi Oura, Eisaku Terayama, Kazuo Asano,Kazuki Matsushita, Yuki Sakai, Masanori Ozaki,Hiroki Yonezawa, Masahiro Okazaki,Takehito Nota,Kazuki Murai,Ryuichi Kita,Toshio Kaminou,Yukio Miki

INTERNAL MEDICINE（2024）

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摘要

A 55-year-old patient was admitted for variceal treatment, a complication of chronic portal hypertension and liver cirrhosis. Imaging studies revealed prominent duodenal varices, the pancreaticoduodenal vein as its afferent pathway, a drainer vessel into the inferior vena cava, and a paraumbilical vein. We successfully performed complete obliteration of the varix, including its afferent and efferent vessels, via the paraumbilical vein approach.

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关键词

liver cirrhosis,duodenal varices,portal hypertension,paraumbilical vein approach

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