孤立性胃静脈瘤治療にアンギオテンシンⅡ受容体拮抗薬が有効であった1例

石井 隆幸; 並木 禎尚; 古谷 徹; 中村 眞; 山根 建樹; 川村 忠夫; 藤瀬 清隆; 戸田 剛太郎; 日野 昌力; 増井 良臣; 増田 勝紀

doi:10.11641/pde.58.2_98

Case report

A Case of Solitary Gastric Varices treated effectively by an Angiotensin II Receptor Antagonist

Takayuki Ishii, Yoshihisa Namiki, Toru Furuya, Makoto Nakamura, Tateki Yamane, Tadao Kawamura, Kiyotaka Fujise, Gotaro Toda, Syoryoku Hino, Yoshiomi Masui, Katunori Masuda

Author information

Takayuki Ishii
Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine (Kashiwa Hospital)
Yoshihisa Namiki
Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine (Kashiwa Hospital)
Toru Furuya
Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine (Kashiwa Hospital)
Makoto Nakamura
Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine (Kashiwa Hospital)
Tateki Yamane
Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine (Kashiwa Hospital)
Tadao Kawamura
Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine (Kashiwa Hospital)
Kiyotaka Fujise
Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine (Kashiwa Hospital)
Gotaro Toda
Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine (Kashiwa Hospital)
Syoryoku Hino
Department of Endoscopy, The Jikei University School of Medicine
Yoshiomi Masui
Department of Endoscopy, The Jikei University School of Medicine
Katunori Masuda
Department of Endoscopy, The Jikei University School of Medicine

JOURNAL FREE ACCESS

2001 Volume 58 Issue 2 Pages 98-99

DOI https://doi.org/10.11641/pde.58.2_98

Details

Abstract

A 68-year-old man who had alcoholic liver cirrhosis with solitary gastric varices was admitted to our hospital. Gastric varices without gastro renal shunt was detected by arterio portography and 3 phase computed tomography. The patient was treated with an angiotensin II receptor antagonist, Losartan. As a results, reduced gastric varices was revealed by upper G-I endoscopy and decreased blood flow was observed by color doppler endoscopic ultrasonography. No symptomatic hyotensive reaction and no deterioration of liver or kidney function was observed. In this case an angiotensin II receptor antagonist was effective in treatment of solitary gastric varices.

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