2024-03-28T20:06:58Z
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2022-12-15T03:39:39Z
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Successful Inokuchi Shunt Operation for Early Gastric Cancer and Concomitant Esophagogastric Varices: A Case Report
Successful Inokuchi Shunt Operation for Early Gastric Cancer and Concomitant Esophagogastric Varices: A Case Report
SATO, Yoshinobu
OSEKI, Hajime
KUROSAKI, Isao
WATANABE, Takaoki
SAITO, Yoshiyuki
SHIRAI, Yoshio
HATAKEYAMA, Katsuyoshi
Inokuchi shunt
esophagogastric varices
early gastric cancer
We encountered a case of esophagogastric varices concomitant early gastric cancer resistant to balloon retrograde transvenous obliteration, but which was successfully treated using the Inokuchi shunt : the left gastric veno-infrahepatic vena cavo anastomosis was shunted using the right superficial femoral vein. Many investigators have documented a high risk of morbidity and mortality accompanying abdominal operations in cirrhotic patients. To the best of our knowledge, this is the first reported case of a patient who successfully underwent both gastric surgery and a simultaneous selective shunt. If postoperative management is carried out carefully, selective shunt operations for esophagogastric varices together with a partial gastrectomy can be effective against early lower gastric cancer and allow the avoidance of variceal bleeding and the discomfort of endoscopic therapy.
Niigata University School of Medicine
1999-09
eng
departmental bulletin paper
http://hdl.handle.net/10191/1888
https://niigata-u.repo.nii.ac.jp/records/6351
AA00508361
05677734
Acta medica et biologica
Acta medica et biologica
47
3
125
129
https://niigata-u.repo.nii.ac.jp/record/6351/files/KJ00000007220.pdf
application/pdf
2.9 MB
2019-08-06