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Management of gastric fundal varices without gastro-renal shunt in 15 patients

World Journal of Gastroenterology 2008年第3期14卷 448-453页

作者： natsuhiko kameda Kazuhide Higuchi Masatsugu Shiba Kaori Kadouchi Hirohisa Machida Hirotoshi Okazaki Tetsuya Tanigawa Toshio Watanabe Kazunari Tominaga Yasuhiro Fujiwara Kenji Nakamura Tetsuo Arakawa Department of Gastroenterology Graduate School of Medicine Osaka City University Osaka 569-8686 Japan Second Department of Internal Medicine Osaka Medical College Osaka 569-8686 Japan Department of Radiology Graduate School of Medicine Osaka City University Osaka 569-8686 Japan

AIM:To examine the portal hemodynamics of gastric fundal varices (GV) without gastro-renal shunt (GRS), and to retrospectively investigate the effects of various kinds of treatment on eradication. METHODS: Ninety-four liver cirrhosis patients at high- risk of GV were treated in our hospital and enrolled in this study. We retrospectively examined their characteristics, liver function, and portal hemodynamics of GV. We performed balloon-occluded retrograde transvenous obliteration (BRTO) at first. If it was not technically possible to perform BRTO, endoscopic injection sclerotherapy using α-cyanoacrylate glue (CA) or percutaneous transhepatic obliteration (PTO) was performed. RESULTS: Among the 94 patients, a GRS was present in 79 (84.0%), and absent in the remaining 15 (16.0%). The subphrenic vein was connected to the inferior vena cava as the drainage vein in 13 (86.7%) out of the 15 cases without GRS. We performed BRTO in 6 patients, CA in 4 patients and PTO in 5 patients. The eradication rate was 100% for each procedure, but the rate of early recurrence within 6 mo was 16.7% for BRTO, 50.0% for CA and 40.0% for PTO, respectively. CONCLUSION: We should examine the hemodynamics before treatment of GV irrespective of the existence of GRS. If this hemodynamic examination reveals that the drainage vein connects directly to the inferior vena cava in GV without GRS, BRTO may be an effective treatment for GV with GRS.

关键词：胃静脉曲张症状治疗措施疗效

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Special Column for Petroleum Geology & Geophysics:State Key Laboratory of Petroleum Resources and Prospecting,China University of Petroleum

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Petroleum Science 2010年第1期7卷 1-1页

作者： natsuhiko Futamura Srinivas Aluru Xiaoqiu Huang

The State Key Laboratory of Petroleum Resources and Prospecting in China University of Petroleum （Beijing） was designated to be a state key laboratory by the Ministry of Science and Technology in 2007. It was founded on the basis of the Key Laboratory of Hydrocarbon Accumulation Mechanisms of the Ministry of Education and CNPC Key Laboratory of Geophysics. Professor Hao Fang serves as the director of the laboratory. His main research interest is in hydrocarbon accumulation mechanisms.

关键词： Special Column for Petroleum Geology Geophysics

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