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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1996-8-14
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pubmed:abstractText |
Although less common than oesophageal varices in portal hypertension, gastric fundal varices carry a higher mortality rate when they rupture. They are less amenable to sclerotherapy. We have developed a minimally invasive balloon-occluded retrograde transverse obliteration (B-RTO) procedure to treat gastric fundal varices. B-RTO involves inserting a balloon catheter into an outflow shunt (gastric-renal or gastric-vena caval inferior) via the femoral or internal jugular vein. Blood flow is then blocked by inflating the balloon, and 5% ethanolamine oleate iopamidol is injected in a retrograde manner. The embolized gastric varix subsequently disappears. B-RTO was performed in 32 patients with gastric varices. Follow-up endoscopies were performed at intervals of 2-4 months for an average observation period of 14 months. Eradication of the varices has been confirmed in 31 of 32 patients. No recurrence occurred in any patients in the follow-up period. There were no significant changes in liver function after the procedure. We conclude that B-RTO is a safe and effective procedure for the treatment of gastric fundal varices.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0815-9319
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
51-8
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:8672742-Adult,
pubmed-meshheading:8672742-Aged,
pubmed-meshheading:8672742-Balloon Dilation,
pubmed-meshheading:8672742-Esophageal and Gastric Varices,
pubmed-meshheading:8672742-Female,
pubmed-meshheading:8672742-Follow-Up Studies,
pubmed-meshheading:8672742-Gastrointestinal Hemorrhage,
pubmed-meshheading:8672742-Hemostasis, Endoscopic,
pubmed-meshheading:8672742-Humans,
pubmed-meshheading:8672742-Male,
pubmed-meshheading:8672742-Middle Aged,
pubmed-meshheading:8672742-Oleic Acids,
pubmed-meshheading:8672742-Sclerosing Solutions,
pubmed-meshheading:8672742-Sclerotherapy,
pubmed-meshheading:8672742-Time Factors
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pubmed:year |
1996
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pubmed:articleTitle |
Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration.
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pubmed:affiliation |
Department of Internal Medicine for the Liver, Hokkaido Kin-ikyo Chuo Hospital, Sapporo, Japan.
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pubmed:publicationType |
Journal Article,
Case Reports
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