@article{oai:twinkle.repo.nii.ac.jp:00020068, author = {NISHINA, Masayoshi and ISHIKAWA, Masatake and YAGUCHI, Arino and HANAFUSA, Shigeki and HARADA, Tomoyuki and TERADA, Takahiro and INAGAKI, Nobuhiro and NAMIKI, Mizuho and NAKADA, Takuro and MACHIDA, Haruhiko and KUWATSURU, Ryohei and SUZUKI, Tadashi}, issue = {2}, journal = {東京女子医科大学雑誌}, month = {Feb}, note = {十二指腸静脈瘤はまれであるが,致死的な出血を来す.近年,種々の治療法が行われている.肝硬変を有する46歳の男性が,重症の貧血のため入院した.血液検査ではヘマトクリット8.9%,血色素量2.3g/dlであった.内視鏡および造影CT検査により十二指腸水平脚に静脈瘤を認めた.第4病日にバルーン下逆行性経静脈的塞栓術を行い,治療に成功した.第4週の造影CT,MRIと内視鏡検査で十二指腸静脈瘤は消失していた.止血している十二指腸静脈瘤では,バルーン下逆行性経静脈的塞栓術が有効であると考えられた., Duodenal varices are a rare and fatal condition. Treatment options for duodenal varices have been more variety in recent years. A 46-year-old man with liver cirrhosis was admitted because of severe anemia. Laboratory findings showed extremely low values for hematocrit (8.9%) and hemoglobin (2.3 g/dl). Upon endoscopic examination and contrast-enhanced computed tomography, duodenal varices were evident on the third portion of the duodenum. On the 4th day, he was successfully treated by balloon-occluded retrograde transvenous obliteration (BRTO). Contrast-enhanced computed tomography, magnetic resonance imaging and endoscopy on the 4th week showed that the varices had diminished. In cases of duodenal varices when hemostasis, we support the use of BRTO.}, pages = {87--90}, title = {A Case of Duodenal Varices Treated by Balloon-occluded Retrograde Transvenous Obliteration}, volume = {77}, year = {2007} }