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- Yusuke Watanabe, Akihiko Osaki, Shun Yamazaki, Hanako Yokoyama, Kenichi Takaku, Munehiro Sato, Daisuke Sato, Naoyuki Yokoyama, Nobuo Waguri, and Shuji Terai.
- Department of Gastroenterology and Hepatology, Niigata City General Hospital, Japan.
- Intern. Med. 2023 Oct 1; 62 (19): 283928462839-2846.
AbstractLeft-sided portal hypertension (LSPH) is a condition of extrahepatic portal hypertension that often results in bleeding from isolated gastric varices (GVs). LSPH is sometimes caused by myeloproliferative diseases, such as essential thrombocythemia (ET). We herein report two cases of GVs with LSPH due to ET that were successfully controlled by gastric devascularization (GDS) or partial splenic embolization (PSE). Since each patient with LSPH due to ET has a different pathology, optimal treatment should be performed depending on the patient's condition, such as platelet counts, hemodynamics, or the prognosis. We believe that these cases will serve as a reference for future cases.
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