Total gastrectomy after shunt failure as therapy for recurrent gastric variceal bleeding due to portal and mesenteric vein thrombosis

R. T. Foust, K. Rajender Reddy, A. S. Livinstone, L. J. Jeffers, E. R. Schiff

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

A 37-yr-old man with portal hypertension due to portal vein thrombosis was referred because of recurrent episodes of variceal hemorrhage. He had previously undergone two portal-systemic shunt procedures. Both of the shunts, as well as the superior mesenteric vein, ultimately thrombosed. Endoscopic variceal sclerotherapy was able to control the bleeding from his esophageal varices, but he repeatedly bled from large gastric varices. The patient underwent a total gastrectomy and has had no further gastrointestinal hemorrhage during a follow-up of 36 months.

Original languageEnglish (US)
Pages (from-to)464-467
Number of pages4
JournalAmerican Journal of Gastroenterology
Volume85
Issue number4
StatePublished - 1990

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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