scholarly journals Gastric Variceal Hemorrhage in a Noncirrhotic Patient Treated with Balloon-Occluded Retrograde Transvenous Obliteration

2014 ◽  
Vol 38 (4) ◽  
pp. 1060-1063
Author(s):  
Jaap W. Ottevanger ◽  
Carla S. P. van Rijswijk ◽  
Bart van Hoek ◽  
Mark C. Burgmans
Keyword(s):  
Variceal Hemorrhage ◽  
Noncirrhotic Patient ◽  
Gastric Variceal Hemorrhage

Gastric Variceal Hemorrhage Secondary to Torsion of Wandering Spleen

2008 ◽  
Vol 6 (12) ◽  
pp. A24 ◽  
Author(s):  
Sachin Wani ◽  
Ahmad B. Abdulkarim ◽  
Daniel Buckles
Keyword(s):  
Wandering Spleen ◽  
Variceal Hemorrhage ◽  
Gastric Variceal Hemorrhage

Coil-Assisted Retrograde Transvenous Obliteration: A Valid Treatment for Gastric Variceal Hemorrhage and Hepatic Encephalopathy

2017 ◽  
Vol 01 (04) ◽  
pp. 302-305 ◽  
Author(s):  
Andrew Marsala ◽  
Edward Lee
Keyword(s):  
Hepatic Encephalopathy ◽  
Clinical Success ◽  
Portosystemic Shunt ◽  
Comparable Efficacy ◽  
Variceal Hemorrhage ◽  
Success Rates ◽  
Small Series ◽  
Shunt Occlusion ◽  
Gastric Variceal Hemorrhage

AbstractCoil-assisted retrograde transvenous obliteration (CARTO) has evolved as a simpler and perhaps safer alternative to balloon-occluded retrograde transvenous obliteration (BRTO). The efficacy of BRTO has been established, and early data supports the use of CARTO in similar situations. In a small series of patients with gastric variceal hemorrhage treated with CARTO, complete portosystemic shunt occlusion, complete variceal obliteration, and no rebleeding during the follow-up period were observed in all patients. In a larger, unpublished study, an improvement in hepatic encephalopathy was observed in over 80% of patients treated with CARTO. In addition, overall liver function was markedly improved in 1 month. As for complications, new or worsened ascites and esophageal varices were observed in 24% and 30%, respectively. Overall, CARTO is an effective treatment of gastric variceal hemorrhage and hepatic encephalopathy with high technical and clinical success rates. Compared with plug-assisted retrograde transvenous obliteration (PARTO), CARTO can be used to safely close larger shunts with a comparable efficacy and complication profiles.

scholarly journals A Case of Pediatric Biliary Atresia in Whom Endoscopic Variceal Iigation Was Effective for Esophago-Gastric Variceal Hemorrhage

1995 ◽  
Vol 46 (0) ◽  
pp. 206-207
Author(s):  
Shuichi Yamada ◽  
Yasunori Miyafuji ◽  
Masahiko Sasajima ◽  
Toshio Kurita ◽  
Eisaku Kondo ◽  
...  
Keyword(s):  
Biliary Atresia ◽  
Variceal Hemorrhage ◽  
Gastric Variceal Hemorrhage

scholarly journals Comparison of Prognosis in Patients with Liver Cirrhosis and its Correlation with the Model for the End-Stage Liver Disease and Child-Pugh Scores in Patients with Esophageal or Gastric Variceal Bleeding

2013 ◽  
Vol 2 (3) ◽  
pp. 106-113
Author(s):  
Seyedeh Masoumeh Pashai ◽  
Mohsen Ebrahimi ◽  
Mohammad Reza Sheikhian
Keyword(s):  
Esophageal Varices ◽  
Gastric Varices ◽  
Meld Score ◽  
Variceal Hemorrhage ◽  
Survival Prognosis ◽  
Cross Sectional ◽  
Prediction Of Mortality ◽  
Significant Difference ◽  
Gastric Variceal Hemorrhage ◽  
Student’S T

BackgroundVariceal bleeding is one of the most serious complications of cirrhosis. Up to now different methods are created for predicting the complications and mortality of cirrhosis. Child- Pugh score and MELD score are two methods for this use. In this study we investigated and compared survival prognosis of cirrhotic patients by the Child-Pugh or MELD score in two groups of esophageal and gastric variceal bleeding.Materials and MethodsIn this cross-sectional trial, patients with upper GI bleeding were followed up for a 6 months period. The source of hemorrhage was determined by endoscopy, then patients distributed in two groups of esophageal and gastric variceal hemorrhage. Finally we investigated and compared the relationship between the variables and mortality rates in these two groups by means of the Child-Pugh and the MELD scores. The Student's t-test and Receiver Operating Characteristic were used for statistical analysis.Results34 patients (12 with gastric varices, 22 with esophageal varices) were investigated. No significant difference between these two groups was observed. In this study mean MELD score was 16.67±8.75 and mean Child-Pugh score was 9.37±2.54. Eight patients (5 with gastric varices and 3 with esophageal varices) expired before 6 weeks and 2 patients (one four each group) expired after 6 weeks. The best cut-off points are 15.5 and 10.5 for MELD and Child-Pugh scores respectively (sensitivity and specificity are 0.75 and 0.98, respectively for both scores).ConclusionSensitivity and specificity of both scores were the same in prediction of mortality. However, the chance ratio defined that Child-Pugh score was a better predictor of mortality than MELD score, since the chance of death will increase 2.51 and 1.62 fold per each unit increase in the Child-Pugh and the MELD scores, respectively. However, no significant difference found between Child-Pugh and MELD score between two groups of patients.

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