H. Saeki et al., GIANT GASTRIC VARICES AFTER A LEFT GASTRIC VENOUS CAVAL SHUNT OPERATION FOR ESOPHAGEAL-VARICES - A CASE-REPORT, Hepato-gastroenterology, 45(21), 1998, pp. 700-704
A Japanese woman, who had undergone a left gastric venous caval shunt
operation for esophageal varices 17 years earlier, was admitted to our
hospital because of bleeding from giant gastric varices. Al angiograp
hic examination revealed a stealing of the portal blood flow to the in
ferior vena cava through both a dilated right gastroepiploic vein and
a right gastric vein via the left gastric venous caval shunt. The gast
ric varices disappeared after obliterating both the feeding and draina
ge vessels by means of intervention radiology. We thus, consider the o
cclusion of both the afferent and efferent vessels to be an effective
treatment for gastric varices.