scholarly journals Sinistral Portal Hypertension: Clinical Features and Surgical Treatment of Chronic Splenic Vein Occlusion

2012 ◽  
Vol 21 (1) ◽  
pp. 20-23 ◽  
Author(s):  
Li Wang ◽  
Gui-Jie Liu ◽  
Yan-Xin Chen ◽  
Huai-Ping Dong ◽  
Le-Xin Wang
Keyword(s):  
Portal Hypertension ◽  
Surgical Treatment ◽  
Clinical Features ◽  
Splenic Vein ◽  
Vein Occlusion ◽  
Splenic Vein Occlusion ◽  
Sinistral Portal Hypertension

Nonfunctioning Pancreatic Endocrine Tumor Presenting with Hemorrhage from Isolated Gastric Varices

2005 ◽  
Vol 71 (12) ◽  
pp. 1027-1030 ◽  
Author(s):  
Tetsuya Yamaguchi ◽  
Hiroshi Takahashi ◽  
Ryuzaburo Kagawa ◽  
Ryoji Takeda ◽  
Shingo Sakata ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Splenic Vein ◽  
Endocrine Tumor ◽  
Gastric Varices ◽  
Pancreatic Endocrine Tumor ◽  
Variceal Hemorrhage ◽  
Vein Occlusion ◽  
Splenic Vein Occlusion ◽  
Isolated Gastric Varices ◽  
Gastric Variceal Hemorrhage

Hemorrhage from gastric varices due to left-sided portal hypertension is an unusual presentation for pancreatic endocrine tumor. A case of pancreatic endocrine tumor presenting with gastric variceal hemorrhage secondary to left-sided portal hypertension associated with splenic vein occlusion is presented. A 53-year-old man with hemorrhage from isolated gastric varices was referred to our hospital. Laboratory studies revealed normal liver function. Surveys to identify the cause of gastric varices by an abdominal CT, MRCP, and abdominal angiography revealed splenic vein occlusion secondarily attributed to the pancreatic tail tumor and splenomegaly. The pancreatic tumor was suspected to be a resectable endocrine tumor. A distal pancreatectomy, splenectomy, partial resection of the gastric fundus, and limited lymph node dissection were performed. By the histological examination, the diagnosis of nonfunctioning pancreatic endocrine tumor with malignant potential was determined. Three years after the surgery, the patient is doing well and reveals no sign of recurrence. In this case, the unusual presentation for pancreatic endocrine tumors such as a gastric variceal hemorrhage had an advantage that led to early presentation prior to the development of metastases with possible curative surgery.

scholarly journals Splenic Artery Embolisation for the Emergency Treatment of Sinistral Portal Hypertension: A Systematic Review

2021 ◽  
Vol 5 (02) ◽  
pp. 079-085
Author(s):  
Harriet Grout-Smith ◽  
Ozbil Dumenci ◽  
N. Paul Tait ◽  
Ali Alsafi
Keyword(s):  
Systematic Review ◽  
Portal Hypertension ◽  
Variceal Bleeding ◽  
Splenic Artery ◽  
Splenic Vein ◽  
Treatment Modalities ◽  
Portal System ◽  
Technical Success Rate ◽  
Randomized Controlled Studies ◽  
Sinistral Portal Hypertension

Abstract Objectives Sinistral portal hypertension (SPH) is caused by increased pressure on the left portal system secondary to splenic vein stenosis or occlusion and may lead to gastric varices. The definitive management of SPH is splenectomy, but this is associated with significant mortality and morbidity in the acute setting. In this systematic review, we investigated the efficacy and safety of splenic artery embolisation (SAE) in managing refractory variceal bleeding in patients with SPH. Methods A comprehensive literature search was conducted using MEDLINE and Embase databases. A qualitative analysis was chosen due to heterogeneity of the studies. Results Our search yielded 339 articles, 278 of which were unique. After initial screening, 16 articles relevant to our search remained for full text review. Of these, 7 were included in the systematic review. All 7 papers were observational, 6 were retrospective. Between them they described 29 SAE procedures to control variceal bleeding. The technical success rate was 100% and there were no cases of rebleeding during follow up. The most common complication was post-embolisation syndrome. Four major complications occurred, two resulting in death. These deaths were the only 30-day mortalities recorded and were in patients with extensive comorbidities. Conclusions Although there is a distinct lack of randomized controlled studies comparing SAE to other treatment modalities, it appears to be safe and effective in treating hemorrhage secondary to SPH.

A case of splenic vein occlusion caused by the intravenous tumor thrombus of nonfunctioning islet cell carcinoma

Surgery Today ◽  
1992 ◽  
Vol 22 (1) ◽  
pp. 62-65 ◽  
Author(s):  
Makoto Watase ◽  
Masato Sakon ◽  
Morito Monden ◽  
Yoshio Miyoshi ◽  
Takeshi Tono ◽  
...  
Keyword(s):  
Cell Carcinoma ◽  
Islet Cell ◽  
Tumor Thrombus ◽  
Splenic Vein ◽  
Islet Cell Carcinoma ◽  
Vein Occlusion ◽  
Nonfunctioning Islet Cell Carcinoma ◽  
Splenic Vein Occlusion

scholarly journals Recognition of splenic vein occlusion

1978 ◽  
Vol 131 (3) ◽  
pp. 439-443 ◽  
Author(s):  
KJ Cho ◽  
W Martel
Keyword(s):  
Splenic Vein ◽  
Vein Occlusion ◽  
Splenic Vein Occlusion

Clinical and endoscopic features of gastric varices secondary to splenic vein occlusion

2008 ◽  
Vol 38 (11) ◽  
pp. 1076-1082 ◽  
Author(s):  
Takahiro Sato ◽  
Katsu Yamazaki ◽  
Jun Akaike ◽  
Jouji Toyota ◽  
Yoshiyasu Karino ◽  
...  
Keyword(s):  
Splenic Vein ◽  
Gastric Varices ◽  
Vein Occlusion ◽  
Splenic Vein Occlusion

Gastric Varices Secondary to Splenic Vein Occlusion: Radiographic Diagnosis and Clinical Significance

Radiology ◽  
1979 ◽  
Vol 132 (3) ◽  
pp. 593-598 ◽  
Author(s):  
Carlos Muhletaler ◽  
A. James Gerlock ◽  
Victor Goncharenko ◽  
George R. Avant ◽  
John M. Flexner
Keyword(s):  
Clinical Significance ◽  
Splenic Vein ◽  
Gastric Varices ◽  
Radiographic Diagnosis ◽  
Vein Occlusion ◽  
Splenic Vein Occlusion
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