Two Cases of Gastric Varices with Left-sided Portal Hypertension Due to Essential Thrombocythemia Treated with Gastric Devascularization or Partial Splenic Embolization.
Intern Med
; 62(19): 2839-2846, 2023 Oct 01.
Article
em En
| MEDLINE
| ID: mdl-36823082
ABSTRACT
Left-sided portal hypertension (LSPH) is a condition of extrahepatic portal hypertension that often results in bleeding from isolated gastric varices (GVs). LSPH is sometimes caused by myeloproliferative diseases, such as essential thrombocythemia (ET). We herein report two cases of GVs with LSPH due to ET that were successfully controlled by gastric devascularization (GDS) or partial splenic embolization (PSE). Since each patient with LSPH due to ET has a different pathology, optimal treatment should be performed depending on the patient's condition, such as platelet counts, hemodynamics, or the prognosis. We believe that these cases will serve as a reference for future cases.
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MEDLINE
Assunto principal:
Varizes Esofágicas e Gástricas
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Embolização Terapêutica
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Hipertensão Portal Segmentar
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Trombocitemia Essencial
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Hipertensão Portal
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article