Simultaneous combined balloon-occluded retrograde transvenous obliteration and partial splenic embolization for gastric fundal varices

Background We previously reported the techniques and usefulness of simultaneous combined balloon-occluded retrograde transvenous obliteration (B-RTO) and partial splenic embolization (PSE), based on the hypothesis that concomitant PSE can diminish the increase in portal venous pressure after B-RTO....

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Veröffentlicht in:United European gastroenterology journal 2016-02, Vol.4 (1), p.62-69
Hauptverfasser: Waguri, Nobuo, Osaki, Akihiko, Ikarashi, Shunzo, Ogawa, Masahiro, Kuraoka, Naosuke, Ogawa, Kohei, Sato, Munehiro, Aiba, Tsuneo, Yoneyama, Osamu, Furukawa, Koichi, Sugimura, Kazuhito, Igarashi, Kentarou
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container_issue 1
container_start_page 62
container_title United European gastroenterology journal
container_volume 4
creator Waguri, Nobuo
Osaki, Akihiko
Ikarashi, Shunzo
Ogawa, Masahiro
Kuraoka, Naosuke
Ogawa, Kohei
Sato, Munehiro
Aiba, Tsuneo
Yoneyama, Osamu
Furukawa, Koichi
Sugimura, Kazuhito
Igarashi, Kentarou
description Background We previously reported the techniques and usefulness of simultaneous combined balloon-occluded retrograde transvenous obliteration (B-RTO) and partial splenic embolization (PSE), based on the hypothesis that concomitant PSE can diminish the increase in portal venous pressure after B-RTO. Objective After experiencing more cases and performing longer-term follow-up, we re-evaluated the efficacy of simultaneous combined B-RTO and PSE for gastric fundal varices (GVs). Methods We performed B-RTO in 36 consecutive patients treated for GVs from 2005 to 2013. Twenty-three patients underwent simultaneous combined B-RTO and PSE (Group 1) and 13 underwent B-RTO monotherapy (Group 2). The outcomes were retrospectively evaluated. Results There were no significant differences in baseline characteristics between the two groups except that the splenic volumes were larger in Group 1 than 2. B-RTO was technically successful in 21 of 23 patients (91.3%) in Group 1 and in 12 of 13 patients (92.3%) in Group 2. In all patients with ruptured GVs (six in Group 1 and five in Group 2), complete hemostasis was obtained by B-RTO. Exacerbation of esophageal varices was significantly less frequent in Group 1 than 2 (p = 0.0017). Conclusion Concomitant PSE with B-RTO may contribute to prevention of the exacerbation of esophageal varices after B-RTO.
doi_str_mv 10.1177/2050640615581966
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Objective After experiencing more cases and performing longer-term follow-up, we re-evaluated the efficacy of simultaneous combined B-RTO and PSE for gastric fundal varices (GVs). Methods We performed B-RTO in 36 consecutive patients treated for GVs from 2005 to 2013. Twenty-three patients underwent simultaneous combined B-RTO and PSE (Group 1) and 13 underwent B-RTO monotherapy (Group 2). The outcomes were retrospectively evaluated. Results There were no significant differences in baseline characteristics between the two groups except that the splenic volumes were larger in Group 1 than 2. B-RTO was technically successful in 21 of 23 patients (91.3%) in Group 1 and in 12 of 13 patients (92.3%) in Group 2. In all patients with ruptured GVs (six in Group 1 and five in Group 2), complete hemostasis was obtained by B-RTO. Exacerbation of esophageal varices was significantly less frequent in Group 1 than 2 (p = 0.0017). Conclusion Concomitant PSE with B-RTO may contribute to prevention of the exacerbation of esophageal varices after B-RTO.</description><identifier>ISSN: 2050-6406</identifier><identifier>EISSN: 2050-6414</identifier><identifier>DOI: 10.1177/2050640615581966</identifier><identifier>PMID: 26966524</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>balloon‐occluded retrograde transvenous obliteration ; esophageal varices ; Gastric varices ; Original ; partial splenic embolization ; portal hypertension</subject><ispartof>United European gastroenterology journal, 2016-02, Vol.4 (1), p.62-69</ispartof><rights>Author(s) 2015</rights><rights>2016 The Authors. 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Objective After experiencing more cases and performing longer-term follow-up, we re-evaluated the efficacy of simultaneous combined B-RTO and PSE for gastric fundal varices (GVs). Methods We performed B-RTO in 36 consecutive patients treated for GVs from 2005 to 2013. Twenty-three patients underwent simultaneous combined B-RTO and PSE (Group 1) and 13 underwent B-RTO monotherapy (Group 2). The outcomes were retrospectively evaluated. Results There were no significant differences in baseline characteristics between the two groups except that the splenic volumes were larger in Group 1 than 2. B-RTO was technically successful in 21 of 23 patients (91.3%) in Group 1 and in 12 of 13 patients (92.3%) in Group 2. In all patients with ruptured GVs (six in Group 1 and five in Group 2), complete hemostasis was obtained by B-RTO. Exacerbation of esophageal varices was significantly less frequent in Group 1 than 2 (p = 0.0017). Conclusion Concomitant PSE with B-RTO may contribute to prevention of the exacerbation of esophageal varices after B-RTO.</description><subject>balloon‐occluded retrograde transvenous obliteration</subject><subject>esophageal varices</subject><subject>Gastric varices</subject><subject>Original</subject><subject>partial splenic embolization</subject><subject>portal hypertension</subject><issn>2050-6406</issn><issn>2050-6414</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqFUcFuFSEUJUZjm9q9KzNLN6MXBngzGxNt2mrSxIV2TYC5PGkYeMLMM_UD_G55mfqiJkY2wL3nHC7nEPKcwitKN5vXDARIDpIK0dNBykfk9FBqJaf88fEM8oScl3IHdfU9Z4w_JSdMVrxg_JT8-OSnJcw6YlpKY9NkfMSxMTqElGKbrA3LWAsZ55y2WY_YzFnHssd4ICQT_IxZzz7FRsex2ek8ex2asgsYvW1wMin47yvApdxsdZlzbbgljhW31_WC5Rl54nQoeP6wn5Hbq8vPF-_bm4_XHy7e3rRWCBhaqhntubEUQYtOGE7dKB21ANL2TDjcOKF75zqgTlBu-MBEZVgrwQEz2J2RN6vubjETjhZj_U1Qu-wnne9V0l792Yn-i9qmveKbahhnVeDlg0BOXxcss5p8sRjC6qCqwbC-o9DRCoUVanMqJaM7PkNBHRJUfydYKS9-H-9I-JVXBQwr4JsPeP9fQXV7ec3eXQGIbqjcduUWvUV1l5Ycq9X_HuYn5eC32A</recordid><startdate>201602</startdate><enddate>201602</enddate><creator>Waguri, Nobuo</creator><creator>Osaki, Akihiko</creator><creator>Ikarashi, Shunzo</creator><creator>Ogawa, Masahiro</creator><creator>Kuraoka, Naosuke</creator><creator>Ogawa, Kohei</creator><creator>Sato, Munehiro</creator><creator>Aiba, Tsuneo</creator><creator>Yoneyama, Osamu</creator><creator>Furukawa, Koichi</creator><creator>Sugimura, Kazuhito</creator><creator>Igarashi, Kentarou</creator><general>SAGE Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201602</creationdate><title>Simultaneous combined balloon-occluded retrograde transvenous obliteration and partial splenic embolization for gastric fundal varices</title><author>Waguri, Nobuo ; Osaki, Akihiko ; Ikarashi, Shunzo ; Ogawa, Masahiro ; Kuraoka, Naosuke ; Ogawa, Kohei ; Sato, Munehiro ; Aiba, Tsuneo ; Yoneyama, Osamu ; Furukawa, Koichi ; Sugimura, Kazuhito ; Igarashi, Kentarou</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5509-1a2184bc1e0a535b41fd6f1c006c825fe7f5a8ff301f514b4925218cc60f02be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>balloon‐occluded retrograde transvenous obliteration</topic><topic>esophageal varices</topic><topic>Gastric varices</topic><topic>Original</topic><topic>partial splenic embolization</topic><topic>portal hypertension</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Waguri, Nobuo</creatorcontrib><creatorcontrib>Osaki, Akihiko</creatorcontrib><creatorcontrib>Ikarashi, Shunzo</creatorcontrib><creatorcontrib>Ogawa, Masahiro</creatorcontrib><creatorcontrib>Kuraoka, Naosuke</creatorcontrib><creatorcontrib>Ogawa, Kohei</creatorcontrib><creatorcontrib>Sato, Munehiro</creatorcontrib><creatorcontrib>Aiba, Tsuneo</creatorcontrib><creatorcontrib>Yoneyama, Osamu</creatorcontrib><creatorcontrib>Furukawa, Koichi</creatorcontrib><creatorcontrib>Sugimura, Kazuhito</creatorcontrib><creatorcontrib>Igarashi, Kentarou</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>United European gastroenterology journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Waguri, Nobuo</au><au>Osaki, Akihiko</au><au>Ikarashi, Shunzo</au><au>Ogawa, Masahiro</au><au>Kuraoka, Naosuke</au><au>Ogawa, Kohei</au><au>Sato, Munehiro</au><au>Aiba, Tsuneo</au><au>Yoneyama, Osamu</au><au>Furukawa, Koichi</au><au>Sugimura, Kazuhito</au><au>Igarashi, Kentarou</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simultaneous combined balloon-occluded retrograde transvenous obliteration and partial splenic embolization for gastric fundal varices</atitle><jtitle>United European gastroenterology journal</jtitle><addtitle>United European Gastroenterol J</addtitle><date>2016-02</date><risdate>2016</risdate><volume>4</volume><issue>1</issue><spage>62</spage><epage>69</epage><pages>62-69</pages><issn>2050-6406</issn><eissn>2050-6414</eissn><abstract>Background We previously reported the techniques and usefulness of simultaneous combined balloon-occluded retrograde transvenous obliteration (B-RTO) and partial splenic embolization (PSE), based on the hypothesis that concomitant PSE can diminish the increase in portal venous pressure after B-RTO. Objective After experiencing more cases and performing longer-term follow-up, we re-evaluated the efficacy of simultaneous combined B-RTO and PSE for gastric fundal varices (GVs). Methods We performed B-RTO in 36 consecutive patients treated for GVs from 2005 to 2013. Twenty-three patients underwent simultaneous combined B-RTO and PSE (Group 1) and 13 underwent B-RTO monotherapy (Group 2). The outcomes were retrospectively evaluated. Results There were no significant differences in baseline characteristics between the two groups except that the splenic volumes were larger in Group 1 than 2. B-RTO was technically successful in 21 of 23 patients (91.3%) in Group 1 and in 12 of 13 patients (92.3%) in Group 2. In all patients with ruptured GVs (six in Group 1 and five in Group 2), complete hemostasis was obtained by B-RTO. Exacerbation of esophageal varices was significantly less frequent in Group 1 than 2 (p = 0.0017). Conclusion Concomitant PSE with B-RTO may contribute to prevention of the exacerbation of esophageal varices after B-RTO.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26966524</pmid><doi>10.1177/2050640615581966</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects balloon‐occluded retrograde transvenous obliteration
esophageal varices
Gastric varices
Original
partial splenic embolization
portal hypertension
title Simultaneous combined balloon-occluded retrograde transvenous obliteration and partial splenic embolization for gastric fundal varices
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