Treatment Plan for Specific Gastric Varicies: Isolated Gastric Fundal Varicies with Portasystemic Shunt

Garnic JD, Walters MJ and Ayres SJ

Department of Interventional Radiology (JDG, MJW), Department of Gastrointestinal Medicine (SJA), Benefis
Health System, USA

^*Correspondance to: J. Daniel Garnic 

 PDF  Full Text DOI: 10.25107/2474-1647.1023

Abstract

We present four recent cases of severe gastrointestinal hemorrhage, resulting in profound decrement in hemoglobin. All cases were due to isolated gastric fundal varicies demonstrating a large gastrorenal venous shunt, not amenable to endoscopic sclerotherapy. Each was treated with a combination of TIPS and variceal occlusion with both outflow and inflow occlusion. Follow up for over a year in each case has defined no recurrence of bleeding or variceal development.

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Cite the article

Garnic JD, Walters MJ, Ayres SJ. Treatment Plan for Specific Gastric Varicies: Isolated Gastric Fundal Varicies with Portasystemic Shunt. Clin Surg. 2016; 1: 1023.