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BRTO for ectopic small intestinal varices bleeding via dilated superior mesenteric veins and left ovarian vein: A case report.
Radiol Case Rep
February 2025
Departments of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Ectopic Variceal Bleeding is a rare complication of portal hypertension, often difficult to manage and potentially life-threatening. However, established guidelines directing treatment are lacking. This report presents a 51-year-old female with hepatitis B-related cirrhosis, who experienced rare small intestinal bleeding due to varicose veins in the superior mesenteric vein and left ovarian vein.
View Article and Find Full Text PDFInnovative Use of a Coaxial Double-Balloon Catheter System for Treating Gastric Varices.
Cureus
October 2024
Department of Diagnostic Radiology and Nuclear Medicine, Graduate School of Medicine, Gunma University, Maebashi, JPN.
Article Synopsis
- A 52-year-old woman with a history of liver surgery developed gastric varices, which posed a risk of rupture.
- A specialized procedure called balloon-occluded retrograde transvenous obliteration (BRTO) was attempted using a double-balloon catheter, but initial venography did not visualize the varices.
- Ultimately, the treatment was successful by injecting a sclerosing agent through the catheter system, effectively embolizing the varices and highlighting the method's effectiveness for complex vascular cases.
Endoscopic devices and techniques for the management of gastric varices (with videos).
Gastrointest Endosc
October 2024
Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Background And Aims: Gastric variceal bleeding occurs less commonly than bleeding from esophageal varices (EVs), although it is associated with higher morbidity and mortality. Bleeding from gastroesophageal varices type 1 (GOV1) is treated like EVs. In contrast, other forms of gastric variceal bleeding, including gastroesophageal varices type 2 (GOV2) and isolated gastric varices types 1 (IGV1) and 2 (IGV2), are treated with varying endoscopic approaches.
View Article and Find Full Text PDFTranshepatic Antegrade Gastric Variceal Sclerotherapy: Comparing Outcomes with and without Initial Efferent Vein Embolization.
J Vasc Interv Radiol
January 2025
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Article Synopsis
- The study aimed to compare the effectiveness of two techniques—percutaneous transhepatic obliteration with initial afferent vein embolization (PTO-A) and initial efferent vein embolization (PTO-E)—for treating gastric varices (GVs).
- 26 patients with type 1 or type 2 gastric varices were treated, with positive outcomes seen in both methods; however, PTO-E demonstrated a significantly higher complete eradication rate (100% vs. 33.3%).
- Patients who underwent PTO-E also experienced a longer median recurrence-free period (75.1 months) compared to those who had PTO-A (8.7 months), although overall survival rates were similar for both groups.
Esophageal Varices as an Independent Predictor of Fatal Outcomes after Balloon-Occluded Retrograde Transvenous Obliteration in Patients with Hepatic Encephalopathy.
Dig Dis
December 2024
Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
Article Synopsis
- The study analyzed 107 patients undergoing balloon-occluded retrograde transvenous obliteration (BRTO) due to uncontrollable hepatic encephalopathy (HE) and assessed the impact of esophageal varices (EVs) on outcomes.
- Patients were divided into two groups based on the presence of EVs, and results showed that those with EVs had significantly shorter event-free survival and overall survival compared to those without EVs.
- The findings suggest that having EVs may indicate a higher risk of complications and mortality following the BRTO procedure in HE patients.
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