scholarly journals Comparison of Transjugular Intrahepatic Portosystemic Shunt with Covered Stent and Balloon-Occluded Retrograde Transvenous Obliteration in Managing Isolated Gastric Varices

2017 ◽  
Vol 18 (2) ◽  
pp. 345 ◽  
Author(s):  
Seung Kwon Kim ◽  
Kristen A. Lee ◽  
Steven Sauk ◽  
Kevin Korenblat
Keyword(s):  
Transjugular Intrahepatic Portosystemic Shunt ◽  
Gastric Varices ◽  
Covered Stent ◽  
Portosystemic Shunt ◽  
Intrahepatic Portosystemic Shunt ◽  
Isolated Gastric Varices

Isolated Gastric Varices and Use of Balloon-occlusive Retrograde Transvenous Obliteration: A Case Report and Literature Review*

2016 ◽  
Vol 25 (1) ◽  
pp. 115-117
Author(s):  
Thomas R. McCarty ◽  
Mena Bakhit ◽  
Tarun Rustagi
Keyword(s):  
Treatment Approach ◽  
Alcoholic Cirrhosis ◽  
Gastric Varices ◽  
Portosystemic Shunt ◽  
Asian Countries ◽  
End Stage Liver Disease ◽  
Intrahepatic Portosystemic Shunt ◽  
Isolated Gastric Varices ◽  
Splenic Thrombosis ◽  
End Stage

Isolated gastric varices are far less prevalent in Western countries where the rate of splenic thrombosis is much lower. However, in Asian countries the entity is more common and therefore a more robust treatment approach has been developed. Balloon-occlusive retrograde transvenous obliteration (BRTO) was first described in 1984 and then revived in 1996. The procedure, while uncommon in the U.S. and not recognized by the AASLD practice guidelines, allows for direct exclusion from the portosystemic system. Here we describe the case of a patient with alcoholic cirrhosis decompensated by bleeding gastric varices treated with BRTO. Abbrevations: BRTO: balloon-occlusive retrograde transverse obliteration; EGD: esophagogastro-duodenoscopy; HE: hepatic encephalopathy; MELD: Model for End Stage Liver Disease; TIPS: transjugular intrahepatic portosystemic shunt.

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