Article
Gastroenterology & Hepatology
Fateh Bazerbachi, Akira Dobashi, Swarup Kumar, Sanjay Misra, Navtej S. Buttar, Louis M. Wong Kee Song
Summary: The study evaluated the efficacy and safety of a combined endoscopic-interventional radiologic approach for treating bleeding fundal varices, finding a high rate (85.7%) of complete variceal obturation and a low incidence (10.0%) of procedure-related adverse events with no deaths.
GASTROENTEROLOGY REPORT
(2021)
Article
Gastroenterology & Hepatology
Xuefeng Luo, Tong Xiang, Junchao Wu, Xiaoze Wang, Yongjun Zhu, Xiaotan Xi, Yuling Yan, Jinlin Yang, Juan Carlos Garcia-Pagan, Li Yang
Summary: This study compared the efficacy and safety of endoscopic cyanoacrylate injection and balloon-occluded retrograde transvenous obliteration (BRTO) to prevent rebleeding in patients with cirrhosis and gastric varices. The results showed that BRTO was more effective in preventing rebleeding from gastric varices, with similar impacts on complications and mortality.
Article
Gastroenterology & Hepatology
Qian Yu, Chenyu Liu, Driss Raissi
Summary: Balloon-occluded retrograde transvenous obliteration (BRTO) and transjugular intrahepatic portosystemic shunt (TIPS) are both safe and effective interventions in the management of portal hypertensive gastric variceal bleeding. Although BRTO may be more effective at preventing future variceal rebleeding, the choice between BRTO and TIPS should be tailored to each patient's comorbidities.
JOURNAL OF CLINICAL GASTROENTEROLOGY
(2021)
Article
Surgery
Shinya Taki, Mikitaka Iguchi, Takao Maekita, Jun Kinoshita, Masaki Takao, Masayuki Kitano
Summary: This study retrospectively compared the efficacy of EIS and BRTO for secondary prevention of GV bleeding and their effects on liver function. It found that EIS therapy is effective in preventing GV rebleeding and has no significant impact on liver function after treatment.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Kazuma Shinkai, Ryotaro Sakamori, Ryoko Yamada, Yuki Tahata, Yasutoshi Nozaki, Kengo Matsumoto, Seiichi Tawara, Kazuto Fukuda, Yuichi Yoshida, Satoshi Tanaka, Toshifumi Ito, Yoshinori Doi, Sadaharu Iio, Mitsuru Sakakibara, Fumihiko Nakanishi, Takahiro Kodama, Hayato Hikita, Tomohide Tatsumi, Tetsuo Takehara
Summary: This study aimed to investigate the impact of esophageal varices (EV) worsening on prognosis after balloon-occluded retrograde transvenous obliteration (BRTO) in gastric varices (GV) patients. The results showed that early worsening of EV after BRTO was associated with poor prognosis.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Review
Medicine, General & Internal
Anum Khakwani, Manan Trivedi, Maham Afzal, Puneet Kahlon, Khola, Parakh Patel, Punith Chowdary Chirumamilla, Rimsha R. Vohra, Rani Ratheesh, Midhun Mathew, Zain U. Abdin, Zahra Nazir
Summary: Gastric Varices are managed using Balloon Retrograde Transvenous Obliteration (BRTO), a modality for treating portal hypertension. This review aims to promote the wider adoption of BRTO and further research to improve patient outcomes in managing gastric varices.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2023)
Article
Cardiac & Cardiovascular Systems
Jongjoon Shim, Jae Myeong Lee, Youngjong Cho, Young Seok Kim, Sang Gyune Kim, Jeong-Ju Yoo
Summary: This study retrospectively analyzed the medical records of 130 patients who underwent plug-assisted retrograde transvenous obliteration for gastric varices between 2013 and 2022. Eight patients underwent plug-assisted retrograde transvenous obliteration via different pathways. The results showed that plug-assisted retrograde transvenous obliteration via alternative portosystemic shunts is effective and technically feasible in the treatment of gastric varices.
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Review
Gastroenterology & Hepatology
Nobuo Waguri, Akihiko Osaki, Yusuke Watanabe
Summary: BRTO is an effective treatment for GVs, and simplifying the blood flow route from GVs to the gastrorenal shunt is crucial for success. Combining BRTO with partial splenic embolization may prevent worsening of esophageal varices and shows promise as a treatment option.
WORLD JOURNAL OF HEPATOLOGY
(2021)
Article
Gastroenterology & Hepatology
Yuki Shirane, Eisuke Murakami, Michio Imamura, Masanari Kosaka, Yusuke Johira, Ryoichi Miura, Serami Murakami, Shigeki Yano, Kei Amioka, Kensuke Naruto, Yuwa Ando, Shinsuke Uchikawa, Yuji Teraoka, Takuro Uchida, Hatsue Fujino, Atsushi Ono, Takashi Nakahara, Tomokazu Kawaoka, Daiki Miki, Masami Yamauchi, Wataru Okamoto, Masataka Tsuge, Keigo Chosa, Kazuo Awai, Hiroshi Aikata, Shiro Oka
Summary: This study aimed to investigate the clinical significance of HVPG, subsequent EVs exacerbation, and prognosis in patients with GV treated with BRTO. It was found that HVPG increases after BRTO, and post-HVPG has a higher predictive ability for EVs exacerbation than pre-HVPG. In addition, liver stiffness measurement is a potential prognostic parameter in patients who undergo BRTO.
BMC GASTROENTEROLOGY
(2022)
Article
Medicine, General & Internal
Taku Mizutani, Kazushige Nirei, Tatsuo Kanda, Masayuki Honda, Tomotaka Ishii, Shuhei Arima, Yoichiro Yamana, Naoki Matsumoto, Shunichi Matsuoka, Mitsuhiko Moriyama
Summary: This study found that LGV width is a major risk factor for the deterioration of esophageal varices following BRTO in cirrhotic patients with gastric varices. More than half of the patients had LGV as the main inflow tract, and they experienced more frequent exacerbations of esophageal varices following BRTO compared to patients with different inflow tract sources.
MEDICINA-LITHUANIA
(2022)
Article
Gastroenterology & Hepatology
Ziyin Huang, Wenhui Zhang, Fujing Lv, Lili Ma, Yong Xiao, Shan Gao, Ming Zhang, Yanling Wang, Peng Li, Haiying Zhao, Honggang Yu, Jiwang Cao, Ge Ke, Yang Wang, Mingkai Chen
Summary: This study compared the efficacy and safety of EUS-guided coil embolization combined with endoscopic cyanoacrylate injection versus balloon-occluded retrograde transvenous obliteration (BRTO) for gastric varices (GV) with high-risk ectopic embolism. The results showed similar technical success rates, rebleeding rates, and mortality rates between the two groups. Therefore, EUS-guided coil embolization combined with endoscopic cyanoacrylate injection is a comparable treatment option for GV with high-risk ectopic embolism.
ENDOSCOPIC ULTRASOUND
(2023)
Review
Gastroenterology & Hepatology
Gianna Stoleru, Zachary Henry
Summary: This article discusses the use, technique, and potential complications of balloon-occluded retrograde transvenous obliteration (BRTO) for managing complications of liver disease. Research findings suggest that BRTO is superior to other treatments for bleeding gastric varices associated with a portosystemic shunt, and it has shown positive outcomes in controlling ectopic variceal bleeding, improving portosystemic encephalopathy, and modulating blood flow in the post liver transplant setting. Modified versions of BRTO have been developed to improve procedure time and complication rates. Further research is needed to explore the use of BRTO in specific situations and patient populations.
CURRENT OPINION IN GASTROENTEROLOGY
(2023)
Article
Medicine, General & Internal
Jongjoon Shim, Jae Myeong Lee, Youngjong Cho
Summary: This case report describes the use of plug-assisted retrograde transvenous obliteration (PARTO) via the pericardial vein to treat gastric variceal bleeding in a patient without a gastrorenal or gastrocaval shunt. PARTO through alternative pathways can be a beneficial alternative in cases where other treatments fail or are not feasible.
Article
Medicine, General & Internal
Akihiro Nishi, Tsuneaki Kenzaka, Misa Sogi, Shuichiro Nakaminato, Takahiro Suzuki
Summary: A 97-year-old woman with hepatic encephalopathy caused by a portosystemic shunt was successfully treated with B-RTO. After the procedure, the shunt was closed and the patient's hyperammonemia and disturbance of consciousness improved.
WORLD JOURNAL OF CLINICAL CASES
(2023)
Article
Gastroenterology & Hepatology
Yamato Tamura, Yoshinari Asaoka, Akihito Takeuchi, Kosuke Matsumoto, Ryo Miura, Koichiro Abe, Toshihiko Arizumi, Masayoshi Yamamoto, Shinya Kodashima, Hiroshi Kondo, Takatsugu Yamamoto, Atsushi Tanaka
Summary: This study investigated the prognosis and characteristics of patients with liver cirrhosis treated with BRTO. The results showed that non-alcoholic steatohepatitis was related to variceal recurrence, and the estimated glomerular filtration rate level was a significant poor prognostic factor.
DIGESTIVE DISEASES
(2023)
