Balloon-occluded retrograde transvenous obliteration for gastric varices: A feasibility study

被引：69

作者：

Sonomura, T ^{[1
]}

Sato, M ^{[1
]}

Kishi, K ^{[1
]}

Terada, M ^{[1
]}

Shioyama, Y ^{[1
]}

Kimura, M ^{[1
]}

Suzuki, K ^{[1
]}

Kutsukake, Y ^{[1
]}

Ushimi, T ^{[1
]}

Tanaka, J ^{[1
]}

Hayashi, S ^{[1
]}

Tanaka, S ^{[1
]}

机构：

[1] Wakayama Med Coll, Dept Radiol, Wakayama 640, Japan

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 1998年 / 21卷 / 01期

关键词：

stomach; varices; veins; therapeutic blockade; angiography; technology; endoscopy; shunts; portosystemic; liver; cirrhosis;

D O I：

10.1007/s002709900206

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose: To evaluate the clinical feasibility of balloon-occluded retrograde transvenous obliteration (BORTO) for gastric varices. Methods: BORTO was performed in 14 patients with gastric varices due to liver cirrhosis. The gastric varices were confirmed by endoscopy, and their feeding and draining veins were identified by contrast-enhanced computed tomography (CT) and angiography. A 6 Fr Simmons-shaped balloon catheter was inserted into the gastrorenal shunt, The balloon was inflated, and 5% ethanolamine oleate iopamidol was infused slowly through the catheter. Patients were followed up with endoscopy and enhanced CT at 1 week, 1, 3, and 6 months after the procedure and every 6 months thereafter. Results: The gastric varices completely disappeared in 12 of 14 patients and was partially resolved in the remaining 2 patients, Neither a recurrence nor an aggravation of gastric varices were found. No major complications were experienced. Conclusion: BORTO is a safe and effective treatment for gastric varices.

引用

页码：27 / 30

页数：4

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