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KMID : 0980720140330020146
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Keimyung Medical Journal
2014 Volume.33 No. 2 p.146 ~ p.151
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A Case of Gastric Variceal Bleeding Controlled by Percutaneous Tranhepatic Glue Embolization
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Hur Chang-Jae
Choi Wang-Yong
Han Eu-Gene
Jang Byoung-Kuk
Hwang Jae-Seok
Chung Woo-Jin
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Abstract
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Gastric variceal bleeding has relatively low incidence rate compared to esophageal variceal bleeding. However, gastric variceal bleeding tends to lead to a massive bleeding and rebleeding which in turn leads to high mortality rate. In cases where endoscopic approach is limited, Ballonoccluded retrograde transvenous obliteration (BRTO) could be considered as a next modality of seizing acute bleeding. Venous catheterization should be preceded to perform venous embolization, however, in cases of hypovolemic shock status, alternative approaches are required. We are reporting a case of 60-year old female with hypovolemic status due to a massive hematemesis, who went through a percutaneous transhepatic glue embolization to control gastric variceal bleeding.
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KEYWORD
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Gastric varix, Percutaneous transhepatic glue embolization
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