New techniques for interruption of gastroesophageal venous blood flow

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

Research output: Contribution to journalArticle

25 Citations (Scopus)

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
Pages (from-to)313-323
Number of pages11
JournalRadiology
Volume124
Issue number2
StatePublished - Dec 1 1977
Externally publishedYes

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Sodium Tetradecyl Sulfate
Absorbable Gelatin Sponge
Veins
Hemorrhage
Sclerosing Solutions
Cephalothin
Balloon Occlusion
Hematoma
Autopsy

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Pereiras, R., Viamonte, M., Russell, E., LePage, J., White, P., & Hutson, D. (1977). New techniques for interruption of gastroesophageal venous blood flow. Radiology, 124(2), 313-323.

New techniques for interruption of gastroesophageal venous blood flow. / Pereiras, R.; Viamonte, M.; Russell, E.; LePage, J.; White, P.; Hutson, Duane.

In: Radiology, Vol. 124, No. 2, 01.12.1977, p. 313-323.

Research output: Contribution to journalArticle

Pereiras, R, Viamonte, M, Russell, E, LePage, J, White, P & Hutson, D 1977, 'New techniques for interruption of gastroesophageal venous blood flow', Radiology, vol. 124, no. 2, pp. 313-323.
Pereiras R, Viamonte M, Russell E, LePage J, White P, Hutson D. New techniques for interruption of gastroesophageal venous blood flow. Radiology. 1977 Dec 1;124(2):313-323.
Pereiras, R. ; Viamonte, M. ; Russell, E. ; LePage, J. ; White, P. ; Hutson, Duane. / New techniques for interruption of gastroesophageal venous blood flow. In: Radiology. 1977 ; Vol. 124, No. 2. pp. 313-323.
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