Balloon-occluded retrograde transvenous obliteration for treatment of gastric varices  

作　　者：Nobuo Waguri Akihiko Osaki Yusuke Watanabe 

机构地区：[1]Department of Gastroenterology and Hepatology,Niigata City General Hospital,Niigata 950-1197,Japan

出　　处：《World Journal of Hepatology》2021年第6期650-661,共12页世界肝病学杂志（英文版）（电子版）

摘　　要：Rupture of gastric varices(GVs)can be fatal.Balloon-occluded retrograde transvenous obliteration(BRTO),as known as retrograde sclerotherapy,has been widely adopted for treatment of GVs because of its effectiveness,ability to cure,and utility in emergency and prophylactic treatment.Simplifying the route of blood flow from GVs to the gastrorenal shunt is important for the successful BRTO.This review outlines BRTO indications and contraindications,describes basic BRTO procedures and modifications,compares BRTO with other GVs treatments,and discusses various combination therapies.Combined BRTO and partial splenic embolization may prevent exacerbation of esophageal varices and shows promise as a treatment option.

关 键 词：Gastric varices Balloon-occluded retrograde transvenous obliteration Balloon-occluded antegrade transvenous obliteration Partial splenic embolization Transjugular intrahepatic portosystemic shunt Plug-and coil-assisted retrograde transvenous obliteration 

分 类 号：R575.2[医药卫生—消化系统]