About: Porto-gastric fistula due to penetration of metallic coil into the stomach: a rare complication of endovascular treatment of gastric varices. A case report     Goto   Sponge   NotDistinct   Permalink

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  • The authors report a rare complication of the endovascular treatment of gastric varices. The case of a 68-year-old female with liver cirrhosis due to hereditary haemochromatosis with uncontrolled gastric variceal bleeding as the first clinical symptom of portal hypertension is presented. She underwent a successful urgent TIPS (transjugular intrahepatic portosystemic shunt). Large portosystemic collaterals were embolised by metaloid coils and n-butyl-2-cyanoacrylate during the procedure. Despite adeqatue hepatic venous pressure gradient reduction, re-bleeding from gastric varices occurred afterwards. Bleeding was successfully treated by local acrylate glue application during endoscopy. Control gastroscopy was performed without any sign of bleeding three weeks later, showing coil penetration into the gastric lumen. The coils were left in situ and patient was discharged without any sign of complications. Eleven months later the coils separated out and only the scar was found at upper endoscopy.
  • The authors report a rare complication of the endovascular treatment of gastric varices. The case of a 68-year-old female with liver cirrhosis due to hereditary haemochromatosis with uncontrolled gastric variceal bleeding as the first clinical symptom of portal hypertension is presented. She underwent a successful urgent TIPS (transjugular intrahepatic portosystemic shunt). Large portosystemic collaterals were embolised by metaloid coils and n-butyl-2-cyanoacrylate during the procedure. Despite adeqatue hepatic venous pressure gradient reduction, re-bleeding from gastric varices occurred afterwards. Bleeding was successfully treated by local acrylate glue application during endoscopy. Control gastroscopy was performed without any sign of bleeding three weeks later, showing coil penetration into the gastric lumen. The coils were left in situ and patient was discharged without any sign of complications. Eleven months later the coils separated out and only the scar was found at upper endoscopy. (en)
  • Autoři prezentují neobvyklou komplikaci endovaskulární léčby žaludečních varixů.. Popisujeme případ 68-leté ženy s jaterní cirhózou na podkladě hereditární hemochromatózy s gastrickým variceálním krvácením jako prvním projevem portální hypertenze. Z důvodu nekontrolovatelného krvácení ze žaludečních varixů podstoupila úspěšně urgentní TIPS (transjugulární intrahepatální portosystémovou spojku). Současně s vytvořením TIPS byla provedena embolizace velkých kolaterál pomocí kovových spirál a n-butyl-2-cyanoakrylátu. Navzdory dostatečné redukci tlakového portosystémového gradientu došlo později k opakovanému krvácení, které bylo úspěšně ošetřeno aplikací cyanoakrylátu při gastroskopii. O tři týdny později při endoskopické kontrole nebyly přítomny známky krvácení, ale byla zjištěna penetrace embolizačních spirál do lumina žaludku. Spirály byly ponechány in situ, nemocná byla dále bez komplikací. O jedenáct měsíců později došlo k odloučením spirál a při endoskopii byla nalezena v původní lokalizaci spirál j (cs)
Title
  • Porto-gastric fistula due to penetration of metallic coil into the stomach: a rare complication of endovascular treatment of gastric varices. A case report
  • Porto-gastric fistula due to penetration of metallic coil into the stomach: a rare complication of endovascular treatment of gastric varices. A case report (en)
  • Porto-gastrická píštěl způsobená penetrací kovových spirál do žaludku: neobvyklá komplikace endovaskulární léčby žaludečních varixů (cs)
skos:prefLabel
  • Porto-gastric fistula due to penetration of metallic coil into the stomach: a rare complication of endovascular treatment of gastric varices. A case report
  • Porto-gastric fistula due to penetration of metallic coil into the stomach: a rare complication of endovascular treatment of gastric varices. A case report (en)
  • Porto-gastrická píštěl způsobená penetrací kovových spirál do žaludku: neobvyklá komplikace endovaskulární léčby žaludečních varixů (cs)
skos:notation
  • RIV/00179906:_____/06:00000145!RIV07-MZ0-00179906
http://linked.open.../vavai/riv/strany
  • 107;111
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(NR8419), Z(MZ0FNHK2005)
http://linked.open...iv/cisloPeriodika
  • 3
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 493095
http://linked.open...ai/riv/idVysledku
  • RIV/00179906:_____/06:00000145
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • TIPS; embolisation; gastric varices; metallic coil (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • CZ - Česká republika
http://linked.open...ontrolniKodProRIV
  • [06575242D606]
http://linked.open...i/riv/nazevZdroje
  • Folia Gastroenterologica et Hepatologica
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 4
http://linked.open...iv/tvurceVysledku
  • Bureš, Jan
  • Krajina, Antonín
  • Tachecí, Ilja
  • Fejfar, Tomáš
  • Hůlek, Petr
  • Kupková, Blanka
http://linked.open...n/vavai/riv/zamer
issn
  • 1214-4088
number of pages
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