TITLE

Total Gastrectomy after Shunt Failure as Therapy for Recurrent Gastric Variceal Bleeding Due to Portal and Mesenteric Vein Thrombosis

AUTHOR(S)
Foust, Robert T.; Reddy, K. Rajender; Livingstone, Alan S.; Jeffers, Lennox J.; Schiff, Eugene R.
PUB. DATE
April 1990
SOURCE
American Journal of Gastroenterology;Apr1990, Vol. 85 Issue 4, p464
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A 37-yr-old man with portal hypertension due to portal vein thrombosis was referred because of recurrent episodes of variceal hemorrhage. He had previously undergone two portal-systemic shunt procedures. Both of the shunts, as well as the superior mesenteric vein, ultimately thrombosed. Endoscopic variceal sclerotherapy was able to control the bleeding from his esophageal varices, but he repeatedly bled from large gastric varices. The patient underwent a total gastrectomy and has had no further gastrointestinal hemorrhage during a follow-up of 36 months.
ACCESSION #
16018935

 

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