| Abstract: | Abstract: A 64-year-old female was admitted to our hospital with enlarged solitary gastric varices. Cardiofornical varices were seen using an endoscopy. We performed balloon-occluded retrograde transvenous obliteration (B-RTO) for gastric varices using 5% ethanolamine oleate. We observed the gastric varices before and after B-RTO using endoscopic color Doppler ultrasonography (ECDUS). Prior to B-RTO, the intramural and extramural blood flow coming from gastric varices were detected. The intramural blood flow produced a to and fro color image on ECDUS. The blood flow velocity was 31.2 cm/sec. The amount of blood flow was 2.40 liter/min. Seven days after the B-RTO, high echo lesions were observed in the gastric varices which indicated that the thrombosis and color flow image had also decreased. Twenty one days after B-RTO, the color flow image of the gastric varices had nearly disappeared and had completely disappeared after 3 months. In this case, ECDUS was an extremely useful modality for viewing the therapeutic effects of B-RTO. |
