1992 Fiscal Year Final Research Report Summary
Hemodynamic Analysis of Portal Hypertension and Clinical Application of the Vascular Pattern of the Lower Esophagus
| Project/Area Number |
02807122
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| Research Category |
Grant-in-Aid for General Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Research Field |
Digestive surgery
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| Research Institution | KYUSHU UNIVERSITY |
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Principal Investigator |
HASHIZUME Makoto Kyusyu University, Department of Medicine, Assistant Professor, 医学部, 講師 (90198664)
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| Project Period (FY) |
1990 – 1992
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| Keywords | Portal hypertension / Esophageal varices / Gastric varices / Combined therapy / sclerotherapy / Giant bar type |
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| Research Abstract |
We reported an angioarchitectural classification of the lower esophagus by a selective left gastric venography in 1989; palisading and bar types. The purpose of this project was to investigate the clinical significance of the vascular pattern of the lower esophagus.
We examined the clinical characteristics, percutaneous trans-hepatic portography, endoscopic findings, color doppler echography, and non-invasive esophageal variceal pressure measurement and so on in 1,200 patients with esophageal varices. The bar type of the esophageal varices was likely to be resistent to sclerotherapy and easily to recur after the treatment, especially "giant-bar type" esophageal varices should be considered a combined therapy of sclerotherapy with Hassab's operation.
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