Treatment for hepatocellular carcinoma (HCC) with esophageal varices.:with esophageal varices

概要

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In six cases of HCC with risky esophageal varices, hepatic resections and blocking operations (Sugiura procedure) were performed for the treatment of HCC and esophageal varices. In a series of 12 cases of HCC with risky esophageal varices in whom hepatic resection were impossible, blocking operation for the treatment of varices and non-operative procedure such as TAE or arterial infusion for the treatment of HCC were performed with satisfactory results. In 11 cases with severe hepatic failure, endoscopic sclerotherapy has been used as the first choice of therapy. However 8 cases out of 11 rebled from esophageal varices in follow-up period after sclerotherapy. It is the best procedure for risky esophageal varices with HCC to perform both the blocking operation and hepatic resection. Endoscopic sclerotherapy should be done only for patients considered to be not for candidates for surgery or with remaining varices after blocking operations.
社団法人日本肝臓学会の論文