Gastric Varices - Endoscopic Ablation With Cyanoacrylate Glue (13 of 18)

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added:
13 years ago
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3343
specialty:
Gastroenterology

Case description

Status post injection of histoacryl mixture. Under normal circumstances blood from the fundus is drained by the short and posterior gastric veins into the splenic vein. In portal hypertension the direction of flow is reversed and blood drains from the spleen toward the stomach into FV. The majority of FVs drain into the inferior phrenic vein, which then joins with either the left renal vein to form the gastrorenal shunt (GRS) (80%-85%) or with the inferior vena cava just below the diaphragm to form the gastrocaval shunt (10%-15%)

tags: varices ablation Cyanoacrylate endoscopy portal hypertension

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