Isolated Gastric Varices Occurring 5 Years after Chemotherapy for Splenic Lymphoma
Authors: Srinivas R. Puli, John S. Farrell, Martin A. Alpert
Journal: Annals of Internal Medicine (2004)

Letters15 June 2004Isolated Gastric Varices Occurring 5 Years after Chemotherapy for Splenic LymphomaSrinivas R. Puli, MD, John S. Farrell, MD, and Martin A. Alpert, MDSrinivas R. Puli, MDFrom St. John's Mercy Medical Center, St. Louis, MO 63141.Search for more papers by this author, John S. Farrell, MDFrom St. John's Mercy Medical Center, St. Louis, MO 63141.Search for more papers by this author, and Martin A. Alpert, MDFrom St. John's Mercy Medical Center, St. Louis, MO 63141.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-12-200406150-00028 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Editor's Note:The lead author of the following Clinical Observation was one of a dozen Associates of the American College of Physicians selected to present a clinical vignette at the 2002 Annual Session in Philadelphia. We are proud to present this case report through a special arrangement with the Council of Associates of the College.TO THE EDITOR:Background: Isolated gastric varices result from sinistral (left-sided) portal hypertension due to splenic vein obstruction (1, 2). Known causes of splenic vein obstruction are pancreatitis (65%); pancreatic neoplasm (18%); and Weber–Christian disease, hepatic cirrhosis, umbilical vein catheterization, renal-cell carcinoma, abdominal surgery, and trauma ...References1. Madsen MS, Petersen TH, Sommer H. Segmental portal hypertension. Ann Surg. 1986;204:72-7. [PMID: 3729585] CrossrefMedlineGoogle Scholar2. Sutton JP, Yarborough DY, Richards JT. Isolated splenic vein occlusion. Review of literature and report of an additional case. Arch Surg. 1970;100:623-6. [PMID: 5462028] CrossrefMedlineGoogle Scholar3. Loftus JP, Nagorney DM, Ilstrup D, Kunselman AR. Sinistral portal hypertension. Splenectomy or expectant management. Ann Surg. 1993;217:35-40. [PMID: 8424698] CrossrefMedlineGoogle Scholar4. McDermott VG, England RE, Newman GE. Case report: bleeding gastric varices secondary to splenic vein thrombosis successfully treated by splenic artery embolization. Br J Radiol. 1995;68:928-30. [PMID: 7551796] CrossrefMedlineGoogle Scholar5. Shiba M, Higuchi K, Nakamura K, Itani A, Kuga T, Okazaki H, et al . Efficacy and safety of balloon-occluded endoscopic injection sclerotherapy as a prophylactic treatment for high-risk gastric fundal varices: a prospective, randomized, comparative clinical trial. Gastrointest Endosc. 2002;56:522-8. [PMID: 12297768] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Srinivas R. Puli, MD; John S. Farrell, MD; Martin A. Alpert, MDAffiliations: From St. John's Mercy Medical Center, St. Louis, MO 63141. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byEUS-guided FNA diagnosis of primary splenic lymphoma 15 June 2004Volume 140, Issue 12Page: 1062-1063KeywordsAngiographyBlood pressureChemotherapyHemoglobinLymphomaPortal hypertensionPortal veinsSplenectomySplenomegalyVeins ePublished: 15 June 2004 Issue Published: 15 June 2004 Copyright & PermissionsCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...