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Image Search Results
Journal: Internal Medicine
Article Title: Pipeline Esophagogastric Varices Secondary to Extrahepatic Portal Vein Obstruction Treated Endoscopically with the Assistance of Transileocolic Obliteration
doi: 10.2169/internalmedicine.9404-22
Figure Lengend Snippet: Representative images during transileocolic obliteration (TIO) and subsequent endoscopic treatment (day 3). (a) After a small abdominal incision, the ileocolic vein (white arrow) was identified, and an 18-gauge puncture needle (black arrow) was then inserted. (b) Digital subtraction venography with contrast injection. The tip of the catheter is advanced peripherally in the dilatated gastric coronary veins and reaches just proximal to the gastric varices (white arrow). Gastric coronary veins (black arrow) and collateral vessels toward the esophagus (arrowheads) are confirmed. (c) Digital subtraction venography with contrast injection after coil embolization. The mainly dilated gastric coronary veins are occluded by multiple coils (Target XXL coils; Stryker, Kalamazoo, USA) (white arrow). The tip of the catheter is placed in the gastric coronary veins proximal to the embolization coils (black arrow). Collateral vessels including palisading veins remain, and hepatofugal blood flow toward the esophageal varices is found (arrowheads). (d) Venography during endoscopic injection sclerotherapy just after TIO. A total of 15 mL of 5% ethanolamine oleate (EO) was injected intravascularly at the lower esophagus (black arrows). The contrast-enhancing agent mixed with EO shows direct thick communicating varices from the esophagus to the stomach, considered pipeline varices (black arrowheads). Successful injection of the sclerosing agent from the esophageal varices to the remaining gastric coronary veins is confirmed (white arrowhead). The white arrows show retention of 67% n-butyl-2-cyanoacrylate, mixed with liposoluble contrast media in the cardiac varices, injected on day 1.
Article Snippet: After advancing the catheter as far as possible into the peripheral gastric coronary vein, the vessel was embolized with
Techniques: Injection