We present four recent cases of severe gastrointestinal hemorrhage, resulting in profound decrement in hemoglobin. All cases were due to isolated gastric fundal varicies demonstrating a large gastrorenal venous shunt, not amenable to endoscopic sclerotherapy. Each was treated with a combination of TIPS and variceal occlusion with both outflow and inflow occlusion. Follow up for over a year in each case has defined no recurrence of bleeding or variceal development.
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Author Name: J. Daniel Garnic
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Keywords: Gastric varicies; Gastrointestinal hemorrhage;
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EISSN: 2474-1647
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