Abstract
The transjuguiar retorograae oonteratlon (TJO) is an ettective method for the treat-ment of gastric varices with gastrorenal shunt, However, the effect of TJO for gastric varices has not been shown in cases with no gastrorenal shunt and in cases after left nephrectomy. We experienced a successful case of TJO for isolated gastric varices after left nephrectomy and this is the first case in the world literature as for as we know. A 69 -year-old female, who had a history of left nephrectomy, was admitted to our hospital with a complaint of tarry stool. An endoscopic examination revealed oozing isolated gastric varices. Splenic angiography showed a narrow gastrorenal shunt which converged to the root of the ligated left renal vein. Treatment was succeeded in using TJO technique with 5 Fr. occlusive balloon catheter.
