Title: Relationship between esophageal varices and azygos vein evaluated by cineportography
Abstract: HepatologyVolume 13, Issue 5 p. 858-864 Original ArticleFree Access Relationship between esophageal varices and azygos vein evaluated by cineportography Tohru Kimura, Tohru Kimura First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorFuminori Moriyasu M.D., Corresponding Author Fuminori Moriyasu M.D. First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanFirst Department of Medicine, Kyoto University School of Medicine, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606, Japan===Search for more papers by this authorToshihiko Kawasaki, Toshihiko Kawasaki First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorHitoshi Someda, Hitoshi Someda First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorTakashi Tamada, Takashi Tamada First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorYukitaka Yamashita, Yukitaka Yamashita First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorShigeki Ono, Shigeki Ono First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorKouzou Kajimura, Kouzou Kajimura First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorOsamu Nishida, Osamu Nishida Department of Geriatrics, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorMinoru Okuma, Minoru Okuma First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this author Tohru Kimura, Tohru Kimura First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorFuminori Moriyasu M.D., Corresponding Author Fuminori Moriyasu M.D. First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanFirst Department of Medicine, Kyoto University School of Medicine, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606, Japan===Search for more papers by this authorToshihiko Kawasaki, Toshihiko Kawasaki First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorHitoshi Someda, Hitoshi Someda First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorTakashi Tamada, Takashi Tamada First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorYukitaka Yamashita, Yukitaka Yamashita First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorShigeki Ono, Shigeki Ono First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorKouzou Kajimura, Kouzou Kajimura First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorOsamu Nishida, Osamu Nishida Department of Geriatrics, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this authorMinoru Okuma, Minoru Okuma First Department of Internal Medicine, Faculty of Medicine, Kyoto University, Kyoto, 606 JapanSearch for more papers by this author First published: May 1991 https://doi.org/10.1002/hep.1840130510Citations: 8AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract The relationship between esophageal varices and the azygos vein, which is generally considered to drain the major part of the variceal blood flow, was evaluated by percutaneous transhepatic cineportography in 35 patients with portal hypertension. We classified the patients into three groups. Those patients in whom most of the variceal blood drained into the azygos vein were designated the azygos-type group (n = 18). Those in whom most of the blood flowed into the brachiocephalic venous system were defined as the cervical-type group (n = 5), and those in whom the varices were drained by both the azygos vein and the brachiocephalic venous system were called the combined-type group (n = 12). Highly developed esophageal varices were recognized endoscopically in all patients in the combined-type and cervical-type groups, whereas some of the patients in the azygos-type group had less well-developed varices. In the azygos-type group, a tendency for the varices to be more severe as their drainage into the azygos vein became more cephalad was noted. Evaluation of the drainage of esophageal varices was considered useful not only for obtaining full comprehension of the significance of the azygos vein but also for assessing the suitability for sclerotherapy. Percutaneous transhepatic cineportography was useful for this purpose because it enables visualization of even the most minute amounts of blood flow. (HEPATOLOGY 1991; 13:858–864.) References 1 Podolsky DK, Isselbacher KJ. Cirrhosis: major sequelae of cirrhosis. In: E Braunwald, KJ Isselbacher, RG Petersdorf, JD Wilson, JB Martin, AS Fauci, eds. Harrison's principles of internal medicine. 11th ed. Vol 2. 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