This report describes two non-cirrhotic patients with portal vein thrombosis who underwent successful balloon occlusion retrograde transvenous obliteration (BRTO) of gastric varices with a satisfactory response and no complications. One patient was a 35-year-old female with a history of Crohn's disease, status post-total abdominal colectomy, and portal vein and mesenteric vein thrombosis. The other patient was a 51-year-old female with necrotizing pancreatitis, portal vein thrombosis, and gastric varices. The BRTO procedure was a useful treatment for gastric varices in non-cirrhotic patients with portal vein thrombosis in the presence of a gastrorenal shunt.
Adult ; Balloon Occlusion/*methods ; Crohn Disease/surgery ; Esophageal and Gastric Varices/*therapy ; Female ; Humans ; *Mesenteric Veins ; Middle Aged ; Pancreatitis, Acute Necrotizing/complications ; *Portal Vein ; Venous Thrombosis/*complications