What question did this study set out to answer?

To evaluate the safety, technical feasibility, and therapeutic efficacy of balloon-occluded retrograde transvenous obliteration (B-RTO) for treating gastric fundal varices.

January 1, 1996Journal of Gastroenterology and Hepatology

Treatment of gastric fundal varices by balloon‐occluded retrograde transvenous obliteration

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Authors

HKHiroshi KanagawaKobatake Hospital SMSatoaki MimaNihon University HKHarukazu KouyamaKin-ikyo Chuo Hospital

Discussion

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Implication

Clinical study demonstrates effective variceal eradication in patients with gastric fundal varices, indicating a safe and durable minimally invasive intervention.

Key Points

To evaluate the safety, technical feasibility, and therapeutic efficacy of balloon-occluded retrograde transvenous obliteration (B-RTO) for treating gastric fundal varices.
Enrolled 32 patients with gastric varices who underwent balloon catheter insertion into outflow shunts (gastric-renal or gastric-inferior vena caval) via femoral or internal jugular vein access.
Injected 5% ethanolamine oleate iopamidol in a retrograde fashion while blood flow was temporarily occluded with the inflated balloon.
Assessed treatment outcomes via follow-up endoscopies performed at 2- to 4-month intervals over a mean observation duration of 14 months.
Complete eradication of gastric fundal varices was achieved in 31 of 32 patients (96.9%).
Variceal recurrence was 0% across the entire patient cohort during the average 14-month follow-up period.
Liver function tests showed no significant changes following the procedure, confirming procedural safety.

Cite This Study

Kanagawa et al. (1996) studied this question.

synapsesocial.com/papers/6a751c7580fadadbba0942b6 https://doi.org/10.1111/j.1440-1746.1996.tb00010.x

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Implication

Clinical study demonstrates effective variceal eradication in patients with gastric fundal varices, indicating a safe and durable minimally invasive intervention.

Treatment of gastric fundal varices by balloon‐occluded retrograde transvenous obliteration

Discussion

Member takes

Implication

Key Points

Cite This Study

Treatment of gastric fundal varices by balloon‐occluded retrograde transvenous obliteration

Discussion

Member takes

Implication

Key Points

Cite This Study

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