Usefulness of Balloon-Occluded Retrograde Transvenous Obliteration in the Treatment of Gastric Varices
- VernacularTitle:B-RTO对食管胃底静脉瘤的栓塞硬化治疗
- Author:
Xiaoqiang TONG
;
Xuexiang JIANG
;
Yinghua ZOU
;
Mikio ASATO
- Publication Type:Journal Article
- Keywords:
esophagus;
stomach;
varices;
interventional radiology
- From:
Journal of Practical Radiology
2001;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the usefulness of balloon-occluded retrograde transvenous obliteration(B-RTO)in treating varices of gastric fundus.Methods Total 11 patients with liver cirrhosis-combined gastric varices were treated by B-RTO.Transfemoral approach was used in all cases.A balloon catheter was inserted into left adrenal vein,then sclerosing material(5% ethanolamine oleate)was injected into the gastric varices via a gastrorenal shunt with the balloon inflated,the balloon was kept in place for 60 minutes.Follow-up was made by enhanced CT and endoscopy.Results 9 varices of the 11 were disappeared or remarkably decreased in size,and no recurrence or rupture was found during the follow-up period(2-12 months).1 of the remaining two varices decreased after second B-RTO procedure.No definitive change of liver or renal function was noted.Conclusion B-RTO is effective,reliable and less invasive for the treatment of gastric varices.
