Clinical outcomes of balloon-occluded retrograde transvenous obliteration for the treatment of gastric variceal hemorrhage in Korean patients with liver cirrhosis: a retrospective multicenter study
DC Field | Value | Language |
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dc.contributor.author | Jang, Se Young | - |
dc.contributor.author | Kim, Go Heun | - |
dc.contributor.author | Park, Soo Young | - |
dc.contributor.author | Cho, Chang Min | - |
dc.contributor.author | Tak, Won Young | - |
dc.contributor.author | Kim, Jeong Han | - |
dc.contributor.author | Choe, Won Hyeok | - |
dc.contributor.author | Kwon, So Young | - |
dc.contributor.author | Lee, Jae Myeong | - |
dc.contributor.author | Kim, Sang Gyune | - |
dc.contributor.author | Kim, Dae Yong | - |
dc.contributor.author | Kim, Young Seok | - |
dc.contributor.author | Lee, Se-Ok | - |
dc.contributor.author | Min, Yang Won | - |
dc.contributor.author | Lee, Joon Hyeok | - |
dc.contributor.author | Paik, Seung Woon | - |
dc.contributor.author | Yoo, Byung Chul | - |
dc.contributor.author | Lim, Jae Wan | - |
dc.contributor.author | Kim, Hong Joo | - |
dc.contributor.author | Cho, Yong Kyun | - |
dc.contributor.author | Sohn, Joo Hyun | - |
dc.contributor.author | Jeong, Jae Yoon | - |
dc.contributor.author | Lee, Yu Hwa | - |
dc.contributor.author | Kim, Tae Yeob | - |
dc.contributor.author | Kweon, Young Oh | - |
dc.date.accessioned | 2021-08-12T02:26:35Z | - |
dc.date.available | 2021-08-12T02:26:35Z | - |
dc.date.issued | 2012-12 | - |
dc.identifier.issn | 2287-2728 | - |
dc.identifier.issn | 2287-285X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/14684 | - |
dc.description.abstract | Background/Aims: This study evaluated the clinical outcomes of balloon-occluded retrograde transvenous obliteration (BRTO) for the treatment of hemorrhage from gastric varices (GV) in Korean patients with liver cirrhosis (LC). Methods: We retrospectively analyzed data from 183 LC patients who underwent BRTO for GV bleeding in 6 universitybased hospitals between January 2001 and December 2010. Results: Of the 183 enrolled patients, 49 patients had Child-Pugh (CP) class A LC, 105 had CP class B, and 30 had CP class C at the time of BRTO. BRTO was successfully performed in 177 patients (96.7%). Procedure-related complications (e. g., pulmonary thromboembolism and renal infarction) occurred in eight patients (4.4%). Among 151 patients who underwent follow-up examinations of GV, 79 patients (52.3%) achieved eradication of GV, and 110 patients (72.8%) exhibited marked shrinkage of the treated GV to grade 0 or I. Meanwhile, new-appearance or aggravation of esophageal varices (EV) occurred in 54 out of 136 patients who underwent follow-up endoscopy (41.2%). During the 36.0 +/- 29.2 months (mean +/- SD) of follow-up, 39 patients rebled (hemorrhage from GV in 7, EV in 18, nonvariceal origin in 4, and unknown in 10 patients). The estimated 3-year rebleeding-free rate was 74.8%, and multivariate analysis showed that CP class C was associated with rebleeding (odds ratio, 2.404; 95% confidence-interval, 1.013-5.704; P= 0.047). Conclusions: BRTO can be performed safely and effectively for the treatment of GV bleeding. However, aggravation of EV or bleeding from EV is not uncommon after BRTO; thus, periodic endoscopy to follow-up of EV with or without prophylactic treatment might be necessary in LC patients undergoing BRTO. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | 대한간학회 | - |
dc.title | Clinical outcomes of balloon-occluded retrograde transvenous obliteration for the treatment of gastric variceal hemorrhage in Korean patients with liver cirrhosis: a retrospective multicenter study | - |
dc.type | Article | - |
dc.publisher.location | 대한민국 | - |
dc.identifier.doi | 10.3350/cmh.2012.18.4.368 | - |
dc.identifier.wosid | 000409413000005 | - |
dc.identifier.bibliographicCitation | Clinical and Molecular Hepatology, v.18, no.4, pp 368 - 374 | - |
dc.citation.title | Clinical and Molecular Hepatology | - |
dc.citation.volume | 18 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 368 | - |
dc.citation.endPage | 374 | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001719489 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordAuthor | Balloon-occluded retrograde transvenous obliteration | - |
dc.subject.keywordAuthor | Esophageal varices | - |
dc.subject.keywordAuthor | Gastric varices | - |
dc.subject.keywordAuthor | Liver cirrhosis | - |
dc.subject.keywordAuthor | Variceal hemorrhage | - |
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