Balloon-occluded retrograde transvenous obliteration for treatment of gastric varices

被引：8
|
作者：
Waguri, Nobuo [1 ]
Osaki, Akihiko [1 ]
Watanabe, Yusuke [1 ]
机构：
[1] Niigata City Gen Hosp, Dept Gastroenterol & Hepatol, Niigata 9501197, Japan
来源：
WORLD JOURNAL OF HEPATOLOGY | 2021年 / 13卷 / 06期
关键词：
Gastric varices; Balloon-occluded retrograde transvenous obliteration; Balloon-occluded antegrade transvenous obliteration; Partial splenic embolization; Transjugular intrahepatic portosystemic shunt; Plug- and coil-assisted retrograde transvenous obliteration; INTRAHEPATIC PORTOSYSTEMIC SHUNT; PARTIAL SPLENIC EMBOLIZATION; PERCUTANEOUS TRANSHEPATIC OBLITERATION; TERM-FOLLOW-UP; HEPATIC-ENCEPHALOPATHY; VASCULAR PLUG; TRANSCATHETER OBLITERATION; PORTAL-HYPERTENSION; ESOPHAGEAL-VARICES; GASTRORENAL SHUNT;
D O I：
10.4254/wjh.v13.i6.650
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Rupture of gastric varices (GVs) can be fatal. Balloon-occluded retrograde transvenous obliteration (BRTO), as known as retrograde sclerotherapy, has been widely adopted for treatment of GVs because of its effectiveness, ability to cure, and utility in emergency and prophylactic treatment. Simplifying the route of blood flow from GVs to the gastrorenal shunt is important for the successful BRTO. This review outlines BRTO indications and contraindications, describes basic BRTO procedures and modifications, compares BRTO with other GVs treatments, and discusses various combination therapies. Combined BRTO and partial splenic embolization may prevent exacerbation of esophageal varices and shows promise as a treatment option.
引用
收藏
页码：650 / 661
页数：12
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