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World J Gastroenterol. Oct 21, 2014; 20(39): 14495-14499
Published online Oct 21, 2014. doi: 10.3748/wjg.v20.i39.14495
Published online Oct 21, 2014. doi: 10.3748/wjg.v20.i39.14495
Treatment of gastric varices with partial splenic embolization in a patient with portal vein thrombosis and a myeloproliferative disorder
Robert Gianotti, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, United States
Hearns Charles, Kenneth Hymes, Hersh Chandarana, Samuel Sigal, New York University School of Medicine, New York, NY 10022, United States
Author contributions: All the authors contributed to conception and design, acquisition of data, or analysis and interpretation of data; drafting the article or revising it critically for important intellectual content; and final approval of the version to be published.
Correspondence to: Robert Gianotti, MD, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Dana 501, Boston, MA 02215, United States. rgianott@bidmc.harvard.edu
Telephone: +1-617-6672136 Fax: +1-617-6672767
Received: June 4, 2013
Revised: September 30, 2013
Accepted: October 19, 2013
Published online: October 21, 2014
Revised: September 30, 2013
Accepted: October 19, 2013
Published online: October 21, 2014
Core Tip
Core tip: Non-cirrhotic portal hypertension is uncommon in the United States. The myeloproliferative disorders (MPD) are a common cause of portal vein thrombosis and non-cirrhotic portal hypertension. To our knowledge, this case represents the first report in the literature of bleeding gastric varices treated with partial splenic embolization in a patient with a MPD that could not undergo transjugular intrahepatic portosystemic shunt or balloon retrograde transvenous obliteration.