Successful Endoscopic Injection Sclerotherapy of High-Risk Gastroesophageal Varices in a Cirrhotic Patient with Hemophilia A
Joint Authors
Okano, Hitoshi
Naito, Yuji
Takagi, Tomohisa
Fukumoto, Kohei
Wakabayashi, Naoki
Yoshida, Norimasa
Mitsufuji, Shoji
Minami, Masahito
Yagi, Nobuaki
Soga, Koichi
Yoshikawa, Toshikazu
Kataoka, Keisho
Konishi, Hideyuki
Miyawaki, Ki-ichiro
Source
Gastroenterology Research and Practice
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-04-29
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A 68-year-old man with hemophilia A and liver cirrhosis caused by hepatitis C virus was referred to our hospital to receive prophylactic endoscopic treatment for gastroesophageal varices (GOV).
He had large, tense, and winding esophageal varices (EV) with cherry red spots extending down to lesser curve, predicting the likelihood of bleeding.
Esophageal endoscopic injection sclerotherapy (EIS) was performed with a total 15 mL of 5% ethanolamine oleate with iopamidol (EOI).
Radiographic imaging during EIS demonstrated that 5% EOI reached the afferent vein of the varices.
He was administered sufficient factor VIII concentrate before and after EIS to prevent massive bleeding from the varices.
Seven days after EIS, upper gastrointestinal endoscopy (UGIE) showed that the varices were eradicated almost completely.
Eighteen months after EIS, the varices continued to diminish.
We report a successful case of safe and effective EIS for GOV in a high-risk cirrhotic patient with hemophilia A.
American Psychological Association (APA)
Fukumoto, Kohei& Konishi, Hideyuki& Soga, Koichi& Miyawaki, Ki-ichiro& Okano, Hitoshi& Minami, Masahito…[et al.]. 2010. Successful Endoscopic Injection Sclerotherapy of High-Risk Gastroesophageal Varices in a Cirrhotic Patient with Hemophilia A. Gastroenterology Research and Practice،Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-478061
Modern Language Association (MLA)
Fukumoto, Kohei…[et al.]. Successful Endoscopic Injection Sclerotherapy of High-Risk Gastroesophageal Varices in a Cirrhotic Patient with Hemophilia A. Gastroenterology Research and Practice No. 2010 (2010), pp.1-5.
https://search.emarefa.net/detail/BIM-478061
American Medical Association (AMA)
Fukumoto, Kohei& Konishi, Hideyuki& Soga, Koichi& Miyawaki, Ki-ichiro& Okano, Hitoshi& Minami, Masahito…[et al.]. Successful Endoscopic Injection Sclerotherapy of High-Risk Gastroesophageal Varices in a Cirrhotic Patient with Hemophilia A. Gastroenterology Research and Practice. 2010. Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-478061
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478061