Tags

Type your tag names separated by a space and hit enter

Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration.
J Gastroenterol Hepatol. 1996 Jan; 11(1):51-8.JG

Abstract

Although less common than oesophageal varices in portal hypertension, gastric fundal varices carry a higher mortality rate when they rupture. They are less amenable to sclerotherapy. We have developed a minimally invasive balloon-occluded retrograde transverse obliteration (B-RTO) procedure to treat gastric fundal varices. B-RTO involves inserting a balloon catheter into an outflow shunt (gastric-renal or gastric-vena caval inferior) via the femoral or internal jugular vein. Blood flow is then blocked by inflating the balloon, and 5% ethanolamine oleate iopamidol is injected in a retrograde manner. The embolized gastric varix subsequently disappears. B-RTO was performed in 32 patients with gastric varices. Follow-up endoscopies were performed at intervals of 2-4 months for an average observation period of 14 months. Eradication of the varices has been confirmed in 31 of 32 patients. No recurrence occurred in any patients in the follow-up period. There were no significant changes in liver function after the procedure. We conclude that B-RTO is a safe and effective procedure for the treatment of gastric fundal varices.

Authors+Show Affiliations

Department of Internal Medicine for the Liver, Hokkaido Kin-ikyo Chuo Hospital, Sapporo, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8672742

Citation

Kanagawa, H, et al. "Treatment of Gastric Fundal Varices By Balloon-occluded Retrograde Transvenous Obliteration." Journal of Gastroenterology and Hepatology, vol. 11, no. 1, 1996, pp. 51-8.
Kanagawa H, Mima S, Kouyama H, et al. Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration. J Gastroenterol Hepatol. 1996;11(1):51-8.
Kanagawa, H., Mima, S., Kouyama, H., Gotoh, K., Uchida, T., & Okuda, K. (1996). Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration. Journal of Gastroenterology and Hepatology, 11(1), 51-8.
Kanagawa H, et al. Treatment of Gastric Fundal Varices By Balloon-occluded Retrograde Transvenous Obliteration. J Gastroenterol Hepatol. 1996;11(1):51-8. PubMed PMID: 8672742.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration. AU - Kanagawa,H, AU - Mima,S, AU - Kouyama,H, AU - Gotoh,K, AU - Uchida,T, AU - Okuda,K, PY - 1996/1/1/pubmed PY - 1996/1/1/medline PY - 1996/1/1/entrez SP - 51 EP - 8 JF - Journal of gastroenterology and hepatology JO - J Gastroenterol Hepatol VL - 11 IS - 1 N2 - Although less common than oesophageal varices in portal hypertension, gastric fundal varices carry a higher mortality rate when they rupture. They are less amenable to sclerotherapy. We have developed a minimally invasive balloon-occluded retrograde transverse obliteration (B-RTO) procedure to treat gastric fundal varices. B-RTO involves inserting a balloon catheter into an outflow shunt (gastric-renal or gastric-vena caval inferior) via the femoral or internal jugular vein. Blood flow is then blocked by inflating the balloon, and 5% ethanolamine oleate iopamidol is injected in a retrograde manner. The embolized gastric varix subsequently disappears. B-RTO was performed in 32 patients with gastric varices. Follow-up endoscopies were performed at intervals of 2-4 months for an average observation period of 14 months. Eradication of the varices has been confirmed in 31 of 32 patients. No recurrence occurred in any patients in the follow-up period. There were no significant changes in liver function after the procedure. We conclude that B-RTO is a safe and effective procedure for the treatment of gastric fundal varices. SN - 0815-9319 UR - https://www.unboundmedicine.com/medline/citation/8672742/Treatment_of_gastric_fundal_varices_by_balloon_occluded_retrograde_transvenous_obliteration_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0815-9319&date=1996&volume=11&issue=1&spage=51 DB - PRIME DP - Unbound Medicine ER -