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Varicose gastrointestinal bleeding is one of the major causes of morbidity and mortality in patients with chronic liver disease. Endoscopic treatment is the first therapeutic line for these patients, however, for those whom this therapeutic modality fail, a broad knowledge of alternative treatment options may improve the prognosis. We describe a case of a patient who were successfully embolized from gastroesophageal varices via transsplenic access.
Transesplenic access in the treatment of varicose gastrointestinal bleeding. Case and technical report
MartinsRB, FalsarellaPM, Motta-Leal-FilhoJM, GalastriFL, AffonsoBB, GarciaRG, NasserF. Transesplenic access in the treatment of varicose gastrointestinal bleeding. Case and technical report. Einstein (Sao Paulo). 2020;18:eRC4934. https://doi.org/10.31744/einstein_journal/2020RC4934
Martins,Rafael Birelo; Falsarella,Priscila Mina; Motta-Leal-Filho,Joaquim Maurício da; Galastri,Francisco Leonardo; Affonso,Breno Boueri; Garcia,Rodrigo Gobbo; Nasser,Felipe. Transesplenic access in the treatment of varicose gastrointestinal bleeding. Case and technical report. Einstein (Sao Paulo)., v. 18, eRC4934, Jan. 2020. https://doi.org/10.31744/einstein_journal/2020RC4934
Martins,R.B., Falsarella,P.M., Motta-Leal-Filho,J.M. , Galastri,F.L., Affonso,B.B., Garcia,R.G., & Nasser,F. (2020). Transesplenic access in the treatment of varicose gastrointestinal bleeding. Case and technical report. Einstein (Sao Paulo).,18, eRC4934. https://doi.org/10.31744/einstein_journal/2020RC4934
Martins,Rafael Birelo and Falsarella,Priscila Mina and Motta-Leal-Filho,Joaquim Maurício da and Galastri,Francisco Leonardo and Affonso,Breno Boueri and Garcia,Rodrigo Gobbo and Nasser,Felipe. Transesplenic access in the treatment of varicose gastrointestinal bleeding. Case and technical report. Einstein (Sao Paulo). [online]. 2020, vol. 18, [cited 2025-09-06], eRC4934. Available from: <https://journal.einstein.br/article/transesplenic-access-in-the-treatment-of-varicose-gastrointestinal-bleeding-case-and-technical-report/>. ISSN 1679-4508. https://doi.org/10.31744/einstein_journal/2020RC4934
Figure 4
Control exam after 30 days. (AG) Computed tomography after 30 days showing gastric varices filled with fluid agent (Onix®), white arrow. (B) Upper digestive endoscopy of control 30 days after the procedure
Control exam after 30 days. (AG) Computed tomography after 30 days showing gastric varices filled with fluid agent (Onix®), white arrow. (B) Upper digestive endoscopy of control 30 days after the procedure