• Am. J. Gastroenterol. · Apr 1990

    Case Reports

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

    • R T Foust, K R Reddy, A S Livingstone, L J Jeffers, and E R Schiff.
    • Center for Liver Diseases, University of Miami School of Medicine, Florida.
    • Am. J. Gastroenterol. 1990 Apr 1; 85 (4): 464-7.

    AbstractA 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.

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