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İZOLE GASTRİK VARİSLERİN KLİNİK OLARAK ORTAYA ÇIKIŞLARININ LATENT PERİYODLARI AÇISINDAN DEĞERLENDİRİLMESİ: VAKA SUNUMU VE LiTERATÜRÜN GÖZDEN GEÇİRİLMESİ

THE EVALUATION OF ISOLATED GASTRIC VARICES WITH RESPECT TO LATENCY PERIOD BEFORE CLINICAL APPEARANCE; A CASE REPORT AND REVIEW OF THE LITERATURE

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2009

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
We report a case with bleeding isolated gastric varices developed secondarily 21 years after an abdominal gun-shot-wound trauma. Isolated gastric varices may occur as a result of various factors causing splenic vein obstruction in pancreatic and peripancreatic regions. This process may take from 3 years to 21 years to display full-blown bleeding left sided portal hypertension. We reviewed the time sequences of clinical events in such patients from the literature. Splenectomy used to be the therapy of choice. When a patient with a history of blunt abdominal trauma comes to the emergency room with an upper gastrointestinal bleeding, physician should keep in mind that fundal varices could be the cause of this bleeding to manage the patient more rationally.
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Abstract (Original Language): 
21 yıl önce geçerilmiĢ, bir ateĢli abdominal silah yaralanmasına sekonder olarak geliĢen izole gastrik varis kanamalı bir vaka sunduk. Ġzole gastrik varisler, splenik ven obstrüksiyonu geliĢtirebilecek pankreatik ve peripankreatik alanlardaki çeĢitli olayların bir sonucu olarak ortaya çıkabilirler. Sol yan portal hipertansiyon kanamasının tam geliĢme zamanının süreci 3 ila 21 yıl sürebilir. Buna benzer hastaların klinik olaylarının geliĢme zamanları açısından literatürü inceledik. Daha önceleri tedavi olarak splenektomi düĢünülmekteydi. Üst gastrointestinal sistem kanaması ile acil servise baĢvuran bir hastada künt abdominal travma öyküsü varsa; hekim, bu kanamanın fundal bir varise bağlı olabileceğini akılda tutarak hastanın takibini daha akılcı yürütmelidir.
FULL TEXT (PDF): 
PDF icon arastirmax-izole-gastrik-varislerin-klinik-olarak-ortaya-cikislarinin-latent-periyodlari-acisindan-degerlendirilmesi-vaka-sunumu-literaturun-gozden-gecirilmesi.pdf
  • 4
137-139
  • English

REFERENCES

References: 

1. Bradley EL. The natural history of splenic vein thrombosis due to chronic pancreatitis: indications for surgery. Int J Pancreatol 1987; 2: 87-92.
2. Evans GR, Yellin AE, Weaver FA, Stain SC. Sinistral (left-sided) portal hypertension. Am Surg 1990; 56: 758-763.
3. Glynn MJ. Isolated splenic vein thrombosis. Arch Surg 1986; 121: 723-725.
4. Huang YH, Yeh HZ, Chen GH, Chang CS, Wu CY, Poon SK, Lien HC, Yang SS. Endoscopic treatment of bleeding gastric varices by N-butyl-2-cyanoacrylate (Histoacryl) injection: long-term efficacy and safety. Gastrointest Endosc 2000; 52: 160-167.
5. Kim T, Shijo H, Kokawa H, Tokumitsu H, Kubara K, Ota K, Akiyoshi N, Iida T, Yokoyama M, Okumura M. Risk factors for hemorrhage from gastric fundal varices. Hepatology 1997; 25:307-
312.
6. Nagral S, Shah S, Gandhi M, Mathur SK. Bleeding isolated gastric varices: a retrospective analysis. Indian J Gastroenterol 1999; 18: 69-72.
7. Neven Ljubicic, Martina Spero. Endoscopic therapy of gastroesophageal. Acta clin Croat. 2001; 40: 117-126.
8. Millar AJ, Brown RA, Hill ID, Rode H, Cywes S. The fundal Internal Medicine pile: Bleeding gastric varices. J Pediatric Surg 1991; 26:707-709.
9. Sakorafas GH, Sarr MG, Farley DR, Farnell MB. The significance of sinistral portal hypertension complicating chronic pancreatitis. Am J Surg 2000; 179: 129-133.
10. Sarin SK, Lahoti D, Saxena SP, Murthy NS, Makwana UK. Prevalence, classification and natural history of gastric varices: Long-term follow-up study in 568 patients with portal hypertension. Hepatology 1992; 16: 1343-1349.
11. Sarin SK, Jain AK, Lamba GS, Gupta R, Chowdhary A. Isolated gastric varices: prevalence, clinical relevance and natural history. Dig Surg 2003; 20: 42-47.
12. Shiv K, Sarin AK, Jain MJ, Rajesh G. A Randomized Controlled Trial of Cyanoacrylate versus Alcohol Injection in Patients with Isolated Fundic Varices. The American journal of gastroenterology 2002; 97: 1010-1014.
13. Sutton JP, Yarborough DY, Ricards JT. Isolated splenic vein occlusion. Review of the literature and report of an additional case. Arch Surg 1970; 100: 623-626.
14. Thakeb F, Salem SA, Abdullah M, Batenouny M. Endoscopic diagnosis of gastric varices. Endoscopy 1994; 26: 287-289.
15. Tsuchida S, Ku Y, Fukumoto T, Tominaga M, Iwasaki T, Kuroda Y. Isolated gastric varices resulting from iatrogenic splenic vein occlusion: report of a case. Surg Today 2003; 33: 542-544.

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