Treatment of bleeding rectal varices with transumbilical venous obliteration of the inferior mesenteric vein

Naotaka Hashimoto; Tomohiko Akahoshi; Masahiro Kamori; Morimasa Tomikawa; Daisuke Yoshida; Yoshihiro Nagao; Kazutoyo Morita; Hiroto Kayashima; Toru Ikegami; Tomoharu Yoshizumi; Akinobu Taketomi; Ken Shirabe; Yoshihiko Maehara

doi:10.1097/SLE.0b013e31828031ec

Treatment of bleeding rectal varices with transumbilical venous obliteration of the inferior mesenteric vein

Naotaka Hashimoto, Tomohiko Akahoshi, Masahiro Kamori, Morimasa Tomikawa, Daisuke Yoshida, Yoshihiro Nagao, Kazutoyo Morita, Hiroto Kayashima, Toru Ikegami, Tomoharu Yoshizumi, Akinobu Taketomi, Ken Shirabe, Yoshihiko Maehara

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6 Citations (Scopus)

Abstract

A 56-year-old male with alcohol-induced liver cirrhosis developed rectal varices. He had a prior history of treatment for esophageal varices with endoscopic variceal ligation. Despite the repeated treatment for rectal varices with endoscopic variceal ligation, endoscopic injection sclerotherapy, and surgery, the bleeding from the rectal varices could not be controlled. Multidetector-row computed tomography and 3D-angiography revealed the hemodynamic profile of the rectal varices. We next approached the rectal varices through the umbilical vein on the abdominal wall, and successfully embolized the varices continuing from the inferior mesenteric vein using coils and a 5% solution of ethanolamine oleate with iopamidol.

Original language	English
Pages (from-to)	e134-e137
Journal	Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume	23
Issue number	3
DOIs	https://doi.org/10.1097/SLE.0b013e31828031ec
Publication status	Published - Jun 2013

All Science Journal Classification (ASJC) codes

Surgery

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Hashimoto, N., Akahoshi, T., Kamori, M., Tomikawa, M., Yoshida, D., Nagao, Y., Morita, K., Kayashima, H., Ikegami, T., Yoshizumi, T., Taketomi, A., Shirabe, K., & Maehara, Y. (2013). Treatment of bleeding rectal varices with transumbilical venous obliteration of the inferior mesenteric vein. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, 23(3), e134-e137. https://doi.org/10.1097/SLE.0b013e31828031ec

Hashimoto, N, Akahoshi, T, Kamori, M, Tomikawa, M, Yoshida, D, Nagao, Y, Morita, K, Kayashima, H, Ikegami, T, Yoshizumi, T, Taketomi, A, Shirabe, K & Maehara, Y 2013, 'Treatment of bleeding rectal varices with transumbilical venous obliteration of the inferior mesenteric vein', Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, vol. 23, no. 3, pp. e134-e137. https://doi.org/10.1097/SLE.0b013e31828031ec

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title = "Treatment of bleeding rectal varices with transumbilical venous obliteration of the inferior mesenteric vein",

abstract = "A 56-year-old male with alcohol-induced liver cirrhosis developed rectal varices. He had a prior history of treatment for esophageal varices with endoscopic variceal ligation. Despite the repeated treatment for rectal varices with endoscopic variceal ligation, endoscopic injection sclerotherapy, and surgery, the bleeding from the rectal varices could not be controlled. Multidetector-row computed tomography and 3D-angiography revealed the hemodynamic profile of the rectal varices. We next approached the rectal varices through the umbilical vein on the abdominal wall, and successfully embolized the varices continuing from the inferior mesenteric vein using coils and a 5% solution of ethanolamine oleate with iopamidol.",

author = "Naotaka Hashimoto and Tomohiko Akahoshi and Masahiro Kamori and Morimasa Tomikawa and Daisuke Yoshida and Yoshihiro Nagao and Kazutoyo Morita and Hiroto Kayashima and Toru Ikegami and Tomoharu Yoshizumi and Akinobu Taketomi and Ken Shirabe and Yoshihiko Maehara",

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AU - Hashimoto, Naotaka

AU - Akahoshi, Tomohiko

AU - Kamori, Masahiro

AU - Tomikawa, Morimasa

AU - Yoshida, Daisuke

AU - Nagao, Yoshihiro

AU - Morita, Kazutoyo

AU - Kayashima, Hiroto

AU - Ikegami, Toru

AU - Yoshizumi, Tomoharu

AU - Taketomi, Akinobu

AU - Shirabe, Ken

AU - Maehara, Yoshihiko

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AB - A 56-year-old male with alcohol-induced liver cirrhosis developed rectal varices. He had a prior history of treatment for esophageal varices with endoscopic variceal ligation. Despite the repeated treatment for rectal varices with endoscopic variceal ligation, endoscopic injection sclerotherapy, and surgery, the bleeding from the rectal varices could not be controlled. Multidetector-row computed tomography and 3D-angiography revealed the hemodynamic profile of the rectal varices. We next approached the rectal varices through the umbilical vein on the abdominal wall, and successfully embolized the varices continuing from the inferior mesenteric vein using coils and a 5% solution of ethanolamine oleate with iopamidol.

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Treatment of bleeding rectal varices with transumbilical venous obliteration of the inferior mesenteric vein

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