Abstract:
A 53-year-old man was admitted to our hospital in August 1997 with enlarged gastric varices. Computed tomography (CT) showed splenic vein occlu-sion, gastric varices, and extra-gastric wall collateral veins. Color flow images of gastric varices were clearly visualized, and the velocity in the gastric varices was 19.6 cm/s via endoscopic color Doppler ultrasonography (ECDUS). The patient was diagnosed with gastric varices according to angiographic findings of splenic vein occlusion, and splenic arterial embolization was performed. Two weeks after the splenic arterial embolization, CT showed peripheral areas of low attenuation in the spleen, due to splenic infarction, with 70% of the spleen volume showing low attenuation. Eight months after the splenic arterial embolization, ECDUS revealed a decrease in gastric variceal color flow images, with the velocity in the gastric varices being 10.3 cm/s.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
Author information
Authors and Affiliations
Additional information
Received: April 26, 1999 / Accepted: August 27, 1999
Rights and permissions
About this article
Cite this article
Sato, T., Yamazaki, K., Toyota, J. et al. Gastric varices with splenic vein occlusion treated by splenic arterial embolization. J Gastroenterol 35, 290–295 (2000). https://doi.org/10.1007/s005350050348
Issue Date:
DOI: https://doi.org/10.1007/s005350050348