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....
Gespeichert in:
Veröffentlicht in: | United European gastroenterology journal 2016-02, Vol.4 (1), p.62-69 |
---|---|
Hauptverfasser: | , , , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext bestellen |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 69 |
---|---|
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 |
format | Article |
fullrecord | <record><control><sourceid>proquest_24P</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4766542</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2050640615581966</sage_id><sourcerecordid>1772831031</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5509-1a2184bc1e0a535b41fd6f1c006c825fe7f5a8ff301f514b4925218cc60f02be3</originalsourceid><addsrcrecordid>eNqFUcFuFSEUJUZjm9q9KzNLN6MXBngzGxNt2mrSxIV2TYC5PGkYeMLMM_UD_G55mfqiJkY2wL3nHC7nEPKcwitKN5vXDARIDpIK0dNBykfk9FBqJaf88fEM8oScl3IHdfU9Z4w_JSdMVrxg_JT8-OSnJcw6YlpKY9NkfMSxMTqElGKbrA3LWAsZ55y2WY_YzFnHssd4ICQT_IxZzz7FRsex2ek8ex2asgsYvW1wMin47yvApdxsdZlzbbgljhW31_WC5Rl54nQoeP6wn5Hbq8vPF-_bm4_XHy7e3rRWCBhaqhntubEUQYtOGE7dKB21ANL2TDjcOKF75zqgTlBu-MBEZVgrwQEz2J2RN6vubjETjhZj_U1Qu-wnne9V0l792Yn-i9qmveKbahhnVeDlg0BOXxcss5p8sRjC6qCqwbC-o9DRCoUVanMqJaM7PkNBHRJUfydYKS9-H-9I-JVXBQwr4JsPeP9fQXV7ec3eXQGIbqjcduUWvUV1l5Ycq9X_HuYn5eC32A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1772831031</pqid></control><display><type>article</type><title>Simultaneous combined balloon-occluded retrograde transvenous obliteration and partial splenic embolization for gastric fundal varices</title><source>Wiley Online Library Open Access</source><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</creator><creatorcontrib>Waguri, Nobuo ; Osaki, Akihiko ; Ikarashi, Shunzo ; Ogawa, Masahiro ; Kuraoka, Naosuke ; Ogawa, Kohei ; Sato, Munehiro ; Aiba, Tsuneo ; Yoneyama, Osamu ; Furukawa, Koichi ; Sugimura, Kazuhito ; Igarashi, Kentarou</creatorcontrib><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.</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. UEG Journal published by Wiley Periodicals LLC. on behalf of United European Gastroenterology</rights><rights>Author(s) 2015 2015 United European Gastroenterology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5509-1a2184bc1e0a535b41fd6f1c006c825fe7f5a8ff301f514b4925218cc60f02be3</citedby><cites>FETCH-LOGICAL-c5509-1a2184bc1e0a535b41fd6f1c006c825fe7f5a8ff301f514b4925218cc60f02be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4766542/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4766542/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,1411,11542,27903,27904,45553,45554,46030,46454,53769,53771</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1177%2F2050640615581966$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26966524$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><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><title>Simultaneous combined balloon-occluded retrograde transvenous obliteration and partial splenic embolization for gastric fundal varices</title><title>United European gastroenterology journal</title><addtitle>United European Gastroenterol J</addtitle><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.</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> |
fulltext | fulltext_linktorsrc |
identifier | ISSN: 2050-6406 |
ispartof | United European gastroenterology journal, 2016-02, Vol.4 (1), p.62-69 |
issn | 2050-6406 2050-6414 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4766542 |
source | Wiley Online Library Open Access |
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 |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T16%3A33%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_24P&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Simultaneous%20combined%20balloon-occluded%20retrograde%20transvenous%20obliteration%20and%20partial%20splenic%20embolization%20for%20gastric%20fundal%20varices&rft.jtitle=United%20European%20gastroenterology%20journal&rft.au=Waguri,%20Nobuo&rft.date=2016-02&rft.volume=4&rft.issue=1&rft.spage=62&rft.epage=69&rft.pages=62-69&rft.issn=2050-6406&rft.eissn=2050-6414&rft_id=info:doi/10.1177/2050640615581966&rft_dat=%3Cproquest_24P%3E1772831031%3C/proquest_24P%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1772831031&rft_id=info:pmid/26966524&rft_sage_id=10.1177_2050640615581966&rfr_iscdi=true |