Interventional Radiologic Treatment for Idiopathic Portal Hypertension

Hirota, Shozo; Ichikawa, Satoshi; Matsumoto, Shinichi; Motohara, Tomofumi; Fukuda, Tetsuya; Yoshikawa, Takeshi

doi:10.1007/S002709900394

Title: Interventional Radiologic Treatment for Idiopathic Portal Hypertension

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Abstract

Purpose: To evaluate the usefulness of interventional radiological treatment for idiopathic portal hypertension. Methods: Between 1995 and 1998, we performed an interventional radiological treatment in five patients with idiopathic portal hypertension, four of whom had refused surgery and one of whom had undergone surgery. Three patients with gastroesophageal varices (GEV) were treated by partial splenic embolization (PSE), one patient with esophageal varices (EV) and massive ascites by transjugular intrahepatic portosytemic shunt (TIPS) and PSE, and one patient with GEV by percutaneous transhepatic obliteration (PTO). Midterm results were analyzed in terms of the effect on esophageal and/or gastric varices. Results: In one woman with severe GEV who underwent three sessions of PSE, there was endoscopic confirmation that the GEV had disappeared. In one man his EV shrunk markedly after two sessions of PSE. In two patients slight reduction of the EV was obtained with one application of PSE combined with endoscopic variceal ligation therapy. PTO for GV in one patient resulted in good control of the varices. All patients have survived for 16-42 months since the first interventional treatment, and varices are well controlled. Conclusion: Interventional radiological treatment is effective for patients with idiopathic portal hypertension, whether or not they havemore » undergone surgery.« less

Authors:

Hirota, Shozo; Ichikawa, Satoshi; Matsumoto, Shinichi; Motohara, Tomofumi; Fukuda, Tetsuya; Yoshikawa, Takeshi ^[1]

Department of Radiology, Kobe University School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe City, Japan 650-0017 (Japan)

Publication Date:: Thu Jul 15 00:00:00 EDT 1999

OSTI Identifier:: 21080298

Resource Type:: Journal Article

Journal Name:: Cardiovascular and Interventional Radiology

Additional Journal Information:: Journal Volume: 22; Journal Issue: 4; Other Information: DOI: 10.1007/s002709900394; Copyright (c) 1999 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551

Country of Publication:: United States

Language:: English

Subject:: 62 RADIOLOGY AND NUCLEAR MEDICINE; ASCITES; BYPASSES; HYPERTENSION; PATIENTS; SURGERY; THERAPY

Citation Formats


                    Hirota, Shozo, Ichikawa, Satoshi, Matsumoto, Shinichi, Motohara, Tomofumi, Fukuda, Tetsuya, and Yoshikawa, Takeshi. Interventional Radiologic Treatment for Idiopathic Portal Hypertension.  United States: N. p., 1999. 
        Web.  doi:10.1007/S002709900394.

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                    Hirota, Shozo, Ichikawa, Satoshi, Matsumoto, Shinichi, Motohara, Tomofumi, Fukuda, Tetsuya, & Yoshikawa, Takeshi. Interventional Radiologic Treatment for Idiopathic Portal Hypertension.  United States.  https://doi.org/10.1007/S002709900394

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                    Hirota, Shozo, Ichikawa, Satoshi, Matsumoto, Shinichi, Motohara, Tomofumi, Fukuda, Tetsuya, and Yoshikawa, Takeshi. 1999.  
        "Interventional Radiologic Treatment for Idiopathic Portal Hypertension".  United States.  https://doi.org/10.1007/S002709900394.

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@article{osti_21080298,

  title        = {Interventional Radiologic Treatment for Idiopathic Portal Hypertension},

  author       = {Hirota, Shozo and Ichikawa, Satoshi and Matsumoto, Shinichi and Motohara, Tomofumi and Fukuda, Tetsuya and Yoshikawa, Takeshi},

  abstractNote = {Purpose: To evaluate the usefulness of interventional radiological treatment for idiopathic portal hypertension. Methods: Between 1995 and 1998, we performed an interventional radiological treatment in five patients with idiopathic portal hypertension, four of whom had refused surgery and one of whom had undergone surgery. Three patients with gastroesophageal varices (GEV) were treated by partial splenic embolization (PSE), one patient with esophageal varices (EV) and massive ascites by transjugular intrahepatic portosytemic shunt (TIPS) and PSE, and one patient with GEV by percutaneous transhepatic obliteration (PTO). Midterm results were analyzed in terms of the effect on esophageal and/or gastric varices. Results: In one woman with severe GEV who underwent three sessions of PSE, there was endoscopic confirmation that the GEV had disappeared. In one man his EV shrunk markedly after two sessions of PSE. In two patients slight reduction of the EV was obtained with one application of PSE combined with endoscopic variceal ligation therapy. PTO for GV in one patient resulted in good control of the varices. All patients have survived for 16-42 months since the first interventional treatment, and varices are well controlled. Conclusion: Interventional radiological treatment is effective for patients with idiopathic portal hypertension, whether or not they have undergone surgery.},

  doi          = {10.1007/S002709900394},

  url          = {https://www.osti.gov/biblio/21080298},
  journal      = {Cardiovascular and Interventional Radiology},

  issn         = {0174-1551},

  number       = 4,

  volume       = 22,

  place        = {United States},

  year         = {Thu Jul 15 00:00:00 EDT 1999},

  month        = {Thu Jul 15 00:00:00 EDT 1999}

}

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