Display options
Cite
Sato T, Yamazaki K, Toyota J, et al. Efficacy of color Doppler ultrasonography for the diagnosis of duodenal varices successfully treated with percutaneous transhepatic obliteration. J Med Ultrason (2001). 2007;34(1):59-63doi: 10.1007/s10396-006-0129-4.
Sato, T., Yamazaki, K., Toyota, J., Karino, Y., Ohmura, T., Akaike, J., Kuwata, Y., & Suga, T. (2007). Efficacy of color Doppler ultrasonography for the diagnosis of duodenal varices successfully treated with percutaneous transhepatic obliteration. Journal of medical ultrasonics (2001), 34(1), 59-63. https://doi.org/10.1007/s10396-006-0129-4
Sato, Takahiro, et al. "Efficacy of color Doppler ultrasonography for the diagnosis of duodenal varices successfully treated with percutaneous transhepatic obliteration." Journal of medical ultrasonics (2001) vol. 34,1 (2007): 59-63. doi: https://doi.org/10.1007/s10396-006-0129-4
Sato T, Yamazaki K, Toyota J, Karino Y, Ohmura T, Akaike J, Kuwata Y, Suga T. Efficacy of color Doppler ultrasonography for the diagnosis of duodenal varices successfully treated with percutaneous transhepatic obliteration. J Med Ultrason (2001). 2007 Mar;34(1):59-63. doi: 10.1007/s10396-006-0129-4. Epub 2007 Mar 15. PMID: 27278182.
Copy Download .nbib Format: NLM
Share it on

J Med Ultrason (2001). 2007 Mar;34(1):59-63. doi: 10.1007/s10396-006-0129-4. Epub 2007 Mar 15.

Efficacy of color Doppler ultrasonography for the diagnosis of duodenal varices successfully treated with percutaneous transhepatic obliteration.

Journal of medical ultrasonics (2001)

Takahiro Sato, Katsu Yamazaki, Jouji Toyota, Yoshiyasu Karino, Takumi Ohmura, Jun Akaike, Yasuaki Kuwata, Toshihiro Suga

Affiliations

  1. Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo, Sapporo, Hokkaido, 060-0033, Japan. [email protected].
  2. Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo, Sapporo, Hokkaido, 060-0033, Japan.

PMID: 27278182 DOI: 10.1007/s10396-006-0129-4

Abstract

We treated a 74-year-old woman who complained of tarry stool. Neither endoscopic examination of the upper gastrointestinal tract nor colonoscopy revealed any finding indicative of bleeding, and (99m)Tc-HSA-D pool scintigraphic imaging showed no accumulation of blood in the digestive tract. Small tortuous collateral veins were observed on computed tomography (CT) in the distal third portion of the duodenum. Color Doppler ultrasonography obtained color flow images of varices in the distal third portion of the duodenum indicating turbulent flow, and color flow imaging showed the outflow vessel from duodenal varices. Duodenoscopy revealed tortuous varices, with erosions and blue in appearance, in the same area. Percutaneous transhepatic portography was carried out 18 days after the treatment of ascites, and hepatofugal blood flow was confirmed in the pancreatic duodenal vein originating near the junction between the splenic and inferior mesenteric veins with the passage of contrast medium into the duodenal varices, which drained into the left ovarian vein. We performed selective catheterization into the afferent vein of the varices, and injected 8 ml of a 5% solution of ethanolamine oleate containing iopamidol. Microcoil embolization using steel coils was added because the therapeutic effect resulting after the relatively rapid washout of sclerosant was insufficient. CT and color Doppler ultrasonography showed absence of blood flow in the varices 1 week after the therapy. This patient has had no episodes of rebleeding in the 24 months after therapy. Color Doppler ultrasonography was useful in diagnosing this case of duodenal varices and in evaluating therapeutic effect.

Keywords: color Doppler; duodenal varices; percutaneous transhepatic obliteration (PTO); portal hypertension

References

  1. N Engl J Med. 1991 Jun 20;324(25):1779-84 - PubMed
  2. AJR Am J Roentgenol. 2003 Sep;181(3):725-7 - PubMed
  3. Jpn J Surg. 1988 Sep;18(5):595-600 - PubMed
  4. Br J Surg. 1988 Jul;75(7):717 - PubMed
  5. Endoscopy. 1996 Feb;28(2):239-43 - PubMed
  6. Hepatogastroenterology. 1995 Feb;42(1):59-61 - PubMed
  7. Am J Gastroenterol. 1988 Nov;83(11):1240-4 - PubMed
  8. Am J Gastroenterol. 1993 Jan;88(1):90-2 - PubMed
  9. J Gastroenterol Hepatol. 1996 Jan;11(1):51-8 - PubMed
  10. Singapore Med J. 2005 Dec;46(12):723-5 - PubMed
  11. Hepatology. 1998 Oct;28(4):1154-8 - PubMed
  12. Surgery. 1999 Sep;126(3):581-3 - PubMed
  13. Abdom Imaging. 1998 Jan-Feb;23 (1):45-50 - PubMed
  14. J Gastroenterol Hepatol. 1999 Mar;14 (3):245-50 - PubMed
  15. Am J Gastroenterol. 1985 Jan;80(1):13-8 - PubMed
  16. J Med Invest. 2005 Aug;52(3-4):212-7 - PubMed
  17. Gastrointest Endosc. 2003 Nov;58(5):794-7 - PubMed
  18. Gastrointest Endosc. 1999 Feb;49(2):255-7 - PubMed
  19. Am J Gastroenterol. 1998 Feb;93(2):272-4 - PubMed
  20. Surgery. 1987 Sep;102(3):548-52 - PubMed
  21. Radiology. 1977 Sep;124(3):619-24 - PubMed
  22. Am J Gastroenterol. 1997 Jul;92(7):1227-9 - PubMed
  23. Gastrointest Endosc. 2000 Aug;52(2):160-7 - PubMed
  24. J Gastroenterol. 1998 Aug;33(4):550-5 - PubMed
  25. Turk J Gastroenterol. 2004 Jun;15(2):104-7 - PubMed
  26. Gastrointest Radiol. 1987;12 (2):111-3 - PubMed
  27. Hepatogastroenterology. 1999 May-Jun;46(27):1751-4 - PubMed

Publication Types