Isolated Gastric Varices Refractory to Balloon-occluded Retrograde Transvenous Obliteration (BRTO) Successfully Treated by Shunt-occluded Endoscopic Injection Sclerotherapy (SO-EIS): A Case Report and Review of the Literature

Balloon-occluded retrograde transvenous obliteration (BRTO) is widely used to treat isolated gastric varices (IGVs) in Japan. However, BRTO is difficult to perform for IGVs with many small collateral veins, and no secondary treatment has been established. We herein report a rare case of IGVs refract...

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Autores principales: Hatanaka, Takeshi, Kakizaki, Satoru, Suzuki, Yuhei, Ueno, Takashi, Shimada, Yasushi, Takizawa, Daichi, Katakai, Kenji, Sato, Ken, Kusano, Motoyasu, Yamada, Masanobu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478564/
https://www.ncbi.nlm.nih.gov/pubmed/28458309
http://dx.doi.org/10.2169/internalmedicine.56.7761
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author Hatanaka, Takeshi
Kakizaki, Satoru
Suzuki, Yuhei
Ueno, Takashi
Shimada, Yasushi
Takizawa, Daichi
Katakai, Kenji
Sato, Ken
Kusano, Motoyasu
Yamada, Masanobu
author_facet Hatanaka, Takeshi
Kakizaki, Satoru
Suzuki, Yuhei
Ueno, Takashi
Shimada, Yasushi
Takizawa, Daichi
Katakai, Kenji
Sato, Ken
Kusano, Motoyasu
Yamada, Masanobu
author_sort Hatanaka, Takeshi
collection PubMed
description Balloon-occluded retrograde transvenous obliteration (BRTO) is widely used to treat isolated gastric varices (IGVs) in Japan. However, BRTO is difficult to perform for IGVs with many small collateral veins, and no secondary treatment has been established. We herein report a rare case of IGVs refractory to BRTO successfully treated by shunt-occluded endoscopic injection sclerotherapy (SO-EIS), which is a combination therapy of major shunt occlusion by a balloon catheter and endoscopic injection sclerotherapy. Since SO-EIS can be performed regardless of the IGVs' anatomical configuration, it may be a promising alternative treatment for IGVs refractory to BRTO.
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spelling pubmed-54785642017-06-21 Isolated Gastric Varices Refractory to Balloon-occluded Retrograde Transvenous Obliteration (BRTO) Successfully Treated by Shunt-occluded Endoscopic Injection Sclerotherapy (SO-EIS): A Case Report and Review of the Literature Hatanaka, Takeshi Kakizaki, Satoru Suzuki, Yuhei Ueno, Takashi Shimada, Yasushi Takizawa, Daichi Katakai, Kenji Sato, Ken Kusano, Motoyasu Yamada, Masanobu Intern Med Case Report Balloon-occluded retrograde transvenous obliteration (BRTO) is widely used to treat isolated gastric varices (IGVs) in Japan. However, BRTO is difficult to perform for IGVs with many small collateral veins, and no secondary treatment has been established. We herein report a rare case of IGVs refractory to BRTO successfully treated by shunt-occluded endoscopic injection sclerotherapy (SO-EIS), which is a combination therapy of major shunt occlusion by a balloon catheter and endoscopic injection sclerotherapy. Since SO-EIS can be performed regardless of the IGVs' anatomical configuration, it may be a promising alternative treatment for IGVs refractory to BRTO. The Japanese Society of Internal Medicine 2017-05-01 /pmc/articles/PMC5478564/ /pubmed/28458309 http://dx.doi.org/10.2169/internalmedicine.56.7761 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hatanaka, Takeshi
Kakizaki, Satoru
Suzuki, Yuhei
Ueno, Takashi
Shimada, Yasushi
Takizawa, Daichi
Katakai, Kenji
Sato, Ken
Kusano, Motoyasu
Yamada, Masanobu
Isolated Gastric Varices Refractory to Balloon-occluded Retrograde Transvenous Obliteration (BRTO) Successfully Treated by Shunt-occluded Endoscopic Injection Sclerotherapy (SO-EIS): A Case Report and Review of the Literature
title Isolated Gastric Varices Refractory to Balloon-occluded Retrograde Transvenous Obliteration (BRTO) Successfully Treated by Shunt-occluded Endoscopic Injection Sclerotherapy (SO-EIS): A Case Report and Review of the Literature
title_full Isolated Gastric Varices Refractory to Balloon-occluded Retrograde Transvenous Obliteration (BRTO) Successfully Treated by Shunt-occluded Endoscopic Injection Sclerotherapy (SO-EIS): A Case Report and Review of the Literature
title_fullStr Isolated Gastric Varices Refractory to Balloon-occluded Retrograde Transvenous Obliteration (BRTO) Successfully Treated by Shunt-occluded Endoscopic Injection Sclerotherapy (SO-EIS): A Case Report and Review of the Literature
title_full_unstemmed Isolated Gastric Varices Refractory to Balloon-occluded Retrograde Transvenous Obliteration (BRTO) Successfully Treated by Shunt-occluded Endoscopic Injection Sclerotherapy (SO-EIS): A Case Report and Review of the Literature
title_short Isolated Gastric Varices Refractory to Balloon-occluded Retrograde Transvenous Obliteration (BRTO) Successfully Treated by Shunt-occluded Endoscopic Injection Sclerotherapy (SO-EIS): A Case Report and Review of the Literature
title_sort isolated gastric varices refractory to balloon-occluded retrograde transvenous obliteration (brto) successfully treated by shunt-occluded endoscopic injection sclerotherapy (so-eis): a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478564/
https://www.ncbi.nlm.nih.gov/pubmed/28458309
http://dx.doi.org/10.2169/internalmedicine.56.7761
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