Efficacy and safety of balloon-occluded retrograde transvenous obliteration for gastric fundal varices in children

被引:5
作者
Hisamatsu, Chieko [1 ]
Kawasaki, Ryuta [2 ]
Yasufuku, Masao [1 ]
Maeda, Kosaku [3 ]
机构
[1] Kobe Univ, Grad Sch Med, Dept Surg, Div Pediat Surg,Chuo Ku, Kobe, Hyogo 6500017, Japan
[2] Kobe Univ, Grad Sch Med, Dept Radiol, Kobe, Hyogo 6500017, Japan
[3] Jichi Med Univ, Dept Pediat Surg, Shimotuke, Tochigi, Japan
关键词
balloon-occluded retrograde transvenous obliteration (B-RTO); gastric fundal varices (GFV); biliary atresia; portal hypertension;
D O I
10.1007/s00383-008-2219-4
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Balloon-occluded retrograde transvenous obliteration (B-RTO) is an interventional radiologic technique that obliterates gastric fundal varices (GFV) from draining veins under balloon occlusion. Few reports have described the use of B-RTO in children. Here, we report a case of B-RTO in a 2-year-old female patient with isolated huge varices in the gastric fundus associated with portal hypertension after surgery for biliary atresia. There was no complication and thrombosis of the varices was achieved. Our results demonstrate that B-RTO is an efficacious and safe treatment for children with isolated GFV.
引用
收藏
页码:1141 / 1144
页数:4
相关论文
共 22 条
[1]   PREDICTION OF VARICEAL HEMORRHAGE BY ESOPHAGEAL ENDOSCOPY [J].
BEPPU, K ;
INOKUCHI, K ;
KOYANAGI, N ;
NAKAYAMA, S ;
SAKATA, H ;
KITANO, S ;
KOBAYASHI, M .
GASTROINTESTINAL ENDOSCOPY, 1981, 27 (04) :213-218
[2]   Eight years of experience with transjugular retrograde obliteration for gastric varices with gastrorenal shunts [J].
Chikamori, F ;
Kuniyoshi, N ;
Shibuya, S ;
Takase, Y .
SURGERY, 2001, 129 (04) :414-420
[3]   Long-term results of balloon-occluded retrograde transvenous obliteration for the treatment of gastric varices and hepatic encephalopathy [J].
Fukuda, T ;
Hirota, S ;
Sugimura, K .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2001, 12 (03) :327-336
[4]  
Hayashi S., 2005, DIGEST ENDOSC, V17, P198
[5]   The long-term outcome of patients with bleeding gastric varices after balloon-occluded retrograde transvenous obliteration [J].
Hiraga, Nobuhiko ;
Aikata, Hiroshi ;
Takaki, Shintaro ;
Kodama, Hideaki ;
Shirakawa, Hiroo ;
Imamura, Michio ;
Kawakami, Yoshiiku ;
Takahashi, Shoichi ;
Toyota, Naoyuki ;
Ito, Katsuhide ;
Tanaka, Shinji ;
Kitamoto, Mikiya ;
Chayama, Kazuaki .
JOURNAL OF GASTROENTEROLOGY, 2007, 42 (08) :663-672
[6]   Retrograde transvenous obliteration of gastric varices [J].
Hirota, S ;
Matsumoto, S ;
Tomita, M ;
Sako, M ;
Kono, M .
RADIOLOGY, 1999, 211 (02) :349-356
[7]  
JALAN R, 2000, BR SOC GASTROENTE S3, V46, P1
[8]  
KANAGAWA H, 1991, Japanese Journal of Gastroenterology, V88, P1459
[9]   Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration [J].
Kanagawa, H ;
Mima, S ;
Kouyama, H ;
Gotoh, K ;
Uchida, T ;
Okuda, K .
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 1996, 11 (01) :51-58
[10]  
Kim T, 1997, HEPATOLOGY, V25, P307