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KMID : 0980720140330020164
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Keimyung Medical Journal
2014 Volume.33 No. 2 p.164 ~ p.168
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A Case of Portal Vein and Splenic Vein Occlusion after Endoscopic Variceal Occlusion Therapy in Gastric Variceal Bleeding
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Kang Eun-Jeong
Park Soo-Young
Lee Yu-Rim
Kim Chang-Yeon
Ahn Sun-Young
Park Jung-Gil
Lee Hyun-Seok
Tak Won-Young
Kweon Young-Oh
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Abstract
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Acute gastric variceal bleeding is one of the most serious complications in portal hypertension, and is associated with high mortality and morbidity. Endoscopic variceal obturation (EVO) using Histoacrylⓡ (n-butyl-2-cyanoacrylate) has been accepted as an effective hemostatic procedure in acute gastric variceal bleeding. However, EVO is not a widely performed because of technical difficulties and complications such as mucosal ulceration, perforation, and systemic embolism.
Herein, we report a patient who developed hepatic failure caused by portal vein occlusion by Histoacrylⓡ injection for management of gastric variceal bleeding.
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KEYWORD
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Gastric variceal bleeding, Histoacrylⓡ, Portal vein occlusion, Splenic vein occlusion
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