Balloon-Occluded Retrograde Transvenous Obliteration for Gastric Varices: A Feasibility Study
- Department of Radiology, Wakayama Medical College, 27 Banchi, 7 Bancho, Wakayama City 640 (Japan)
- Department of Radiology, Tokyo Metropolitan Komagome Hospital, 3-18-22 Honkomagome, Bunkyo Ku, Tokyo 113 (Japan)
- Department of Hepatology, Tokyo Metropolitan Komagome Hospital, 3-18-22 Honkomagome, Bunkyo Ku, Tokyo 113 (Japan)
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.
- OSTI ID:
- 21080435
- Journal Information:
- Cardiovascular and Interventional Radiology, Vol. 21, Issue 1; Other Information: DOI: 10.1007/s002709900206; Copyright (c) 1998 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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