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World J Gastroenterol. Aug 21, 2013; 19(31): 5125-5130
Published online Aug 21, 2013. doi: 10.3748/wjg.v19.i31.5125
Published online Aug 21, 2013. doi: 10.3748/wjg.v19.i31.5125
Emergency balloon-occluded retrograde transvenous obliteration of ruptured gastric varices
Tetsuo Sonomura, Morio Sato, Kouhei Nakata, Hiroki Sanda, Nobuyuki Kawai, Hiroki Minamiguchi, Motoki Nakai, Kazushi Kishi, Department of Radiology, Wakayama Medical University, Wakayama 641-8510, Japan
Wataru Ono, Department of Gastroenterology, Kishiwada Tokushukai Hospital, Kishiwada 596-8522, Japan
Shinya Sahara, Department of Radiology, Kishiwada Tokushukai Hospital, Kishiwada 596-8522, Japan
Author contributions: Sonomura T designed the research; Sonomura T, Ono W, Sahara S, Nakata K and Sanda H performed the clinical study; Sonomura T, Kawai N, Minamiguchi H and Nakai M acquired data and researched the literature; Sonomura T, Sato M and Kishi K drafted the manuscript and edited it.
Correspondence to: Tetsuo Sonomura, MD, PhD, Department of Radiology, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, Japan. sonomura@wakayama-med.ac.jp
Telephone: +81-73-4410605 Fax: +81-73-4443110
Received: May 13, 2013
Revised: June 13, 2013
Accepted: July 4, 2013
Published online: August 21, 2013
Revised: June 13, 2013
Accepted: July 4, 2013
Published online: August 21, 2013
Core Tip
Core tip: As ruptured gastric varices are associated with high rates of recurrent bleeding and mortality, quick treatment is essential. Balloon-occluded retrograde transvenous obliteration (BRTO) is a minimally invasive treatment for gastric varices with a high success rate and a low recurrence rate. Emergency BRTO is an effective and safe treatment, providing temporary hemostasis of ruptured gastric varices can be achieved, allowing the sclerosant to accumulate in the varices.