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[Endoscopic variceal ligation and percutaneous transhepatic obliteration difficulty in esophageal variceal bleeding: a case report]. 2023
Takanori Hosokawa, and
Koji Uraushihara, and
Atsushi Kawaguchi, and
Shigeru Kojima, and
Yuki Sakurai, and
Shoko Suzuki, and
Masayuki Kobayashi, and
Kazumasa Ohno, and
Ohki Kikuchi, and
Yuichi Takeda
Department of Gastroenterology, Showa General Hospital.
A 48-year-old male patient with a history of alcoholic cirrhosis was admitted to our hospital due to hematemesis with a 7-day history of melena. Emergency esophagogastroduodenoscopy revealed esophageal variceal bleeding. We attempted hemostasis with endoscopic variceal ligation (EVL). The esophageal mucosa was not aspirated into the EVL device although the patient had no history of endoscopic injection sclerotherapy or EVL. Percutaneous transhepatic obliteration (PTO) was performed and esophageal variceal bleeding was successfully hemostasis. PTO is a viable option for refractory esophageal bleeding.
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