New techniques for interruption of gastroesophageal venous blood flow

R. Pereiras, M. Viamonte, E. Russell, J. LePage, P. White, D. Hutson

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Enlarged gastroesophageal veins were successfully obliterated in 41 patients using embolization with modified autogenous clots and/or Gelfoam, balloon occlusion, iatrogenic perivenous hematoma, sclerosing agents (Sotradecol and Keflin), or a combination of these methods. Thirteen patients were actively bleeding when studied, and the site of bleeding was detected in 4. Surgical exploration of 16 patients and autopsy study of 5 showed persistent obliteration ranging between three weeks and seven months. No major complications requiring reparative surgery were encountered. Gelfoam soaked with Sotradecol is the preferred agent because it provides persistent obliteration of the embolized veins. Patients who are acutely bleeding or have done so previously are candidates for selective obliteration of the gastroesophageal veins.

Original languageEnglish (US)
Pages (from-to)313-323
Number of pages11
JournalUnknown Journal
Volume124
Issue number2
DOIs
StatePublished - Jan 1 1977

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Pereiras, R., Viamonte, M., Russell, E., LePage, J., White, P., & Hutson, D. (1977). New techniques for interruption of gastroesophageal venous blood flow. Unknown Journal, 124(2), 313-323. https://doi.org/10.1148/124.2.313