Euroasian journal of hepato-gastroenterology

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VOLUME 3 , ISSUE 1 ( January-June, 2013 ) > List of Articles


B-RTO for Gastric Varices

Hitoshi Maruyama, Osamu Yokosuka

Citation Information : Maruyama H, Yokosuka O. B-RTO for Gastric Varices. Euroasian J Hepatogastroenterol 2013; 3 (1):54-58.

DOI: 10.5005/jp-journals-10018-1064

License: CC BY-NC 4.0

Published Online: 01-08-2017

Copyright Statement:  Copyright © 2013; The Author(s).


Gastric varices (GV) are considerable hemodynamic abnormality in patients with portal hypertension. Recent developments in both imaging technology and medical devices have made it possible to perform various radiological techniques. Balloonoccluded retrograde transvenous obliteration (B-RTO) is an interventional technique which provides high success rate of GV embolization with less recurrence. This review article aimed to introduce the concept and technique of B-RTO, and overview the effect and outcome of the treatment.

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  1. Bosch J, Abraldes JG, Groszmann R. Current management of portal hypertension. J Hepatol 2003;38:S54-68
  2. Prevalence, classification and natural history of gastric varices: A long-term follow-up study in 568 portal hypertension patients. Hepatology 1992;16: 1343-49
  3. Risk factors for hemorrhage from gastric fundal varices. Hepatology 1997;25:307-12
  4. A pathophysiologic, gastroenterologic and radiologic approach to the management of gastric varices. Gastroenterology 2004;126:1175-89
  5. Modern management of portal hypertension. Intern Med J 2005;35:45-49
  6. Management of variceal haemorrhage. BMJ 1994;308:1213-17
  7. Gastric varices: Profile, classification and management. Am J Gastroenterol 1989;84:1244-49
  8. Endoscopic sclerotherapy in the treatment of gastric varices. Br J Surg 1988;75:747-50
  9. Gastric variceal ligation: A new technique. Gastrointest Endosc 1999;49:437-41
  10. Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration. J Gastroenterol Hepatol 1996;11:51-58
  11. Transjugular retrograde obliteration (TJO) for gastric varices. Abdom Imaging 1996;21: 299-303. Hitoshi Maruyama, Osamu Yokosuka 58 27. Kamezaki H, Maruyama H, Shimada T, Takahashi M, Okugawa H, Yokosuka O. Short- and long-term clinical outcome after B-RTO: Is pretreatment portal flow direction a predictive factor? Hepatol Int 2013;7(1):241-47
  12. Short-term complications of retrograde transvenous obliteration of gastric varices in patients with portal hypertension: Effects of obliteration of major portosystemic shunts. Abdom Imaging 2005;30:306-13
  13. Selective B-RTO of gastric varix with preservation of major portacaval shunt. AJR Am J Roentgenol 2006;186:1155-57
  14. Gastric varices with gastrorenal shunt: combined therapy using transjugular retrograde obliteration and partial splenic embolization. AJR Am J Roentgenol 2008;191:555-59
  15. Balloon-occluded retrograde transvenous obliteration of gastric varices: Use of CT-guided foam sclerotherapy to optimize technique. AJR Am J Roentgenol 2012;199:200-07
  16. Foam sclerotherapy using polidocanol for balloon-occluded retrograde transvenous obliteration (B-RTO). Eur Radiol 2011;21: 122-29.
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