naa a22 4500 51081381X CHVBK 20180411083455.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12328-013-0379-9 doi (NATIONALLICENCE)springer-10.1007/s12328-013-0379-9 Usefulness of multi-detector row computed tomography for management of duodenal varices by emergency balloon-occluded retrograde transvenous obliteration [Elektronische Daten] [Takayuki Fukuhara, Hideaki Kakizawa, Hiroshi Aikata, Chihiro Tani, Masaki Ishikawa, Kazuo Awai, Kazuaki Chayama] Ectopic varices outside the gastroesophageal region are less common in patients with portal hypertension and liver cirrhosis. Among ectopic varices, bleeding from duodenal varices is often massive and fatal. Several reports have recently described various treatment options for duodenal varices including interventional radiology. It is necessary to thoroughly investigate variceal hemodynamics before conducting interventional radiology. We report a case of bleeding duodenal varices treated successfully with balloon-occluded retrograde transvenous obliteration (B-RTO) after investigating the hemodynamics of the duodenal varices with multi-detector row computed tomography (MDCT). MDCT easily identified the duodenal varices together with the afferent and efferent vessels. Our case suggests the usefulness of MDCT before B-RTO for investigating the hemodynamics and vascular anatomy of the duodenal varices and selection of the most appropriate therapy. Springer Japan, 2013 MDCT nationallicence B-RTO nationallicence Duodenal varices nationallicence Fukuhara Takayuki Department of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut Kakizawa Hideaki Department of Diagnostic Radiology, Division of Medical Intelligence and Informatics, Programs for Applied Biomedicine, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut Aikata Hiroshi Department of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut Tani Chihiro Department of Diagnostic Radiology, Division of Medical Intelligence and Informatics, Programs for Applied Biomedicine, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut Ishikawa Masaki Department of Diagnostic Radiology, Division of Medical Intelligence and Informatics, Programs for Applied Biomedicine, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut Awai Kazuo Department of Diagnostic Radiology, Division of Medical Intelligence and Informatics, Programs for Applied Biomedicine, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut Chayama Kazuaki Department of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/3(2013-06-01), 243-247 1865-7257 6:3<243 2013 6 12328 https://doi.org/10.1007/s12328-013-0379-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0379-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fukuhara Takayuki Department of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 700 1- Kakizawa Hideaki Department of Diagnostic Radiology, Division of Medical Intelligence and Informatics, Programs for Applied Biomedicine, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 700 1- Aikata Hiroshi Department of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 700 1- Tani Chihiro Department of Diagnostic Radiology, Division of Medical Intelligence and Informatics, Programs for Applied Biomedicine, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 700 1- Ishikawa Masaki Department of Diagnostic Radiology, Division of Medical Intelligence and Informatics, Programs for Applied Biomedicine, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 700 1- Awai Kazuo Department of Diagnostic Radiology, Division of Medical Intelligence and Informatics, Programs for Applied Biomedicine, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 700 1- Chayama Kazuaki Department of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, 734-8551, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/3(2013-06-01), 243-247 1865-7257 6:3<243 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer