抄録
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.
