Treatment Strategy for Gastric Variceal Bleeding Caused by Sinistral Portal Hypertension Based on Hemodynamic Characteristics: A Case Report

Jie Zheng, Shanhong Tang, Juan Zhou · 2026

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Description

Jie Zheng, Shanhong Tang, and Juan Zhou report a case of stomach vein bleeding caused by pressure backup on the body's left side, in a 2026 case report. The condition, sinistral portal hypertension, followed repeated pancreas inflammation and made stomach varices bleed again and again. Glue injection through a scope is the usual rescue for such bleeding but often fails to hold.

Reasoning from the blood flow pattern, the team chose to remove the spleen, which removes the pathological circuit feeding the varices. The report weighs that option against scope therapy and partial spleen artery blocking. The authors offer the hemodynamic view as a guide for choosing treatment in similar patients.

Catalog record

CREATORJie Zheng, Shanhong Tang, Juan Zhou
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE17 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13635447

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