We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Long-term follow up of esophageal varices after balloon-occluded retrograde transvenous obliteration for gastric varices.
- Authors
Nakamura, Shinichi; Torii, Nobuyuki; Yatsuji, Satoru; Konishi, Hiroyuki; Kishino, Maiko; Taniai, Makiko; Tokushige, Katsutoshi; Hashimoto, Etsuko; Shiratori, Keiko
- Abstract
Aim: Because the procedure of balloon-occluded retrograde transvenous obliteration (B-RTO) causes extensive thrombosis of the major shunt that connects the spleen and gastric/renal venous systems, an increase in portal pressure is unavoidable. The aim of the present study was to assess the long-term outcome of B-RTO, including changes in esophageal varices. Methods: B-RTO was conducted in 22 patients with gastric varices, who were divided according to the severity of esophageal varices at baseline; there were no esophageal varices ( n = 7), F1 varices ( n = 11), and F2 varices ( n = 4). The outcome measures included the development/worsening of esophageal varices after B-RTO and survival rates. Results: The cumulative bleeding-free probability for all 22 patients at 3 years after B-RTO was 100%. The overall 3-year survival was 94.4%. Seven patients who had no esophageal varices prior to B-RTO did not develop any after the procedure. Seven (63.6%) of the 11 patients with stage F1 esophageal varices prior to B-RTO showed no changes in the varices after B-RTO, while two patients progressed to F2 varices and two developed F3 varices. The cumulative treatment-free probability of the esophageal varices at 24 months after B-RTO was 100% for patients without esophageal varices at baseline, 80.8% for patients with pre-existing F1 varices, and 75% for those with pre-existing F2 varices. Conclusion: Although the B-RTO procedure is considered useful for the treatment of gastric varices, changes in hemodynamics due to obliteration of this major shunt must be taken into account and observed closely.
- Subjects
ESOPHAGEAL varices; ESOPHAGUS diseases; PORTAL hypertension; VARICOSE veins; THROMBOSIS; SPLEEN
- Publication
Hepatology Research, 2008, Vol 38, Issue 4, p340
- ISSN
1386-6346
- Publication type
Article
- DOI
10.1111/j.1872-034X.2007.00282.x