A METHOD THAT CAN BE APPLIED SUCCESSFULLY IN CASES OF INSUFFICIENT PORTAL VENA IN PERCUTANEOUS SPLENOPARTOGRAPHY

Year 1972, Volume: 25 Issue: 3, 355 - 360, 30.09.1972

Zafer Paykoç

https://izlik.org/JA99RE75KG

Abstract

Bilhassa karaciğer sirozlarında yapılan perkütan splenoportografilerde, vakaların yüzde 6 kadarında vena porta açık olduğu halde vizüalize olmamaktadır. Bu vakalarda büyük gastroözofajial kollateraller yüzünden dalağa injekte edilen radyoopak maddeyi taşıyan kan, V. Portaya varamadan özofaja kaçmaktadır. Teşhis ve tedavinin planlanması bakımından önemli olan bu hususun aydınlanması için bir Sengstaken - Blackmore tüpü ile özofaj varisleri bloke edildikten sonra splenoportografi yapılması düşünülmüştür. Böylece V. Porta'ya doğru zorlanan kan bu venayı doldurmaktadır. Bu metod 6 vakada başarı ile uygulanmıştır.

Keywords

Portal venografi , Portosistemik kollateraller , Özofagus varisleri ve cerrahi tedavi

Perkütan Splenoportografide Vena Portanın Yetersiz Olduğu Hallerde Başarı İle Uygulanacak Bir Metod

https://izlik.org/JA99RE75KG

Abstract

During percutaneous splenoportography, especially in cases of presinusoidal portal hypertension, non-visualisation of the portal vein is encountered in approximately 6 p.c. of the cases. In the majority of these, the splenic venous blood carrying the radio-opague material injected into the spleen escapes through large collaterals. As the elucidation of the state of patency of the portal vein is impotant for correct diagnosis and for the planning of the proper treatment, we present in this paper a method by which the submucosal oesophageal varices are blocked by means of a Sengstaken Blakemore baloon, ensuring x-ray visualisation of the portal vein. This method is successfully applied in 6 such cases, effectively demonstrating the state of patency of the portal vein.

Keywords

Portal venography , Portosystemic collaterals , Esophageal varices and surgical treatment

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