Abstract:
:Enlarged gastroesophageal veins were successfully obliterated in 41 patients using embolization with modified autogenous clots and/or Gelfoam, balloon occlusion, iatrogenic perivenous hematoma, sclerosing agents (Sotradecol and Keflin), or a combination of these methods. Thirteen patients were actively bleeding when studied, and the site of bleeding was detected in 4. Surgical exploration of 16 patients and autopsy study of 5 showed persistent obliteration ranging between three weeks and seven months. No major complications requiring reparative surgery were encountered. Gelfoam soaked with Sotradecol is the preferred agent because it provides persistent obliteration of the embolized veins. Patients who are acutely bleeding or have done so previously are candidates for selective obliteration of the gastroesophageal veins.
journal_name
Radiologyjournal_title
Radiologyauthors
Pereiras R,Viamonte M Jr,Russell E,LePage J,White P,Hutson Ddoi
10.1148/124.2.313subject
Has Abstractpub_date
1977-08-01 00:00:00pages
313-23issue
2eissn
0033-8419issn
1527-1315journal_volume
124pub_type
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