A novel therapeutic approach for rectal varices: a case report of rectal varices treated with double balloon-occluded embolotherapy.
Am J Gastroenterol
; 92(5): 883-6, 1997 May.
Article
em En
| MEDLINE
| ID: mdl-9149207
ABSTRACT
We present a patient with continuous melena, diagnosed as rectal varices bleeding. She had a history of esophageal varices, which was treated by endoscopic ligation therapy. Eight years after the treatment of esophageal varices, the continuous melena began. Colonoscopic examination showed that the melena was caused by rectal varices, which were so severe that they could not be treated by either endoscopic sclerotherapy or surgical devascularization. Taking into considering the overall risk of treating rectal varices, we chose the approach of double balloon-occluded embolotherapy (DBOE) with 5% ethanolamine oleate with iopamodol as a liquid embolic material. DBOE is one of the interventional radiology techniques (Morita et al., Acta Hepatol Jpn 1994;35109-120), but in this case was a completely new and novel clinical procedure for rectal varices. After the DBOE therapy, the condition of rectal varices was markedly improved. Thus, DBOE might be a new tool for treating inoperable rectal varices.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Retais
/
Varizes
/
Embolização Terapêutica
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Am J Gastroenterol
Ano de publicação:
1997
Tipo de documento:
Article
País de afiliação:
Japão