Korean J Radiol.  2014 Feb;15(1):108-113. 10.3348/kjr.2014.15.1.108.

Balloon Occlusion Retrograde Transvenous Obliteration of Gastric Varices in Two Non-Cirrhotic Patients with Portal Vein Thrombosis

Affiliations
  • 1Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA. kims@mir.wustl.edu

Abstract

This report describes two non-cirrhotic patients with portal vein thrombosis who underwent successful balloon occlusion retrograde transvenous obliteration (BRTO) of gastric varices with a satisfactory response and no complications. One patient was a 35-year-old female with a history of Crohn's disease, status post-total abdominal colectomy, and portal vein and mesenteric vein thrombosis. The other patient was a 51-year-old female with necrotizing pancreatitis, portal vein thrombosis, and gastric varices. The BRTO procedure was a useful treatment for gastric varices in non-cirrhotic patients with portal vein thrombosis in the presence of a gastrorenal shunt.

Keyword

Balloon occlusion retrograde transvenous obliteration; Portal hypertension; Hemorrhage; Embolization

MeSH Terms

Adult
Balloon Occlusion/*methods
Crohn Disease/surgery
Esophageal and Gastric Varices/*therapy
Female
Humans
*Mesenteric Veins
Middle Aged
Pancreatitis, Acute Necrotizing/complications
*Portal Vein
Venous Thrombosis/*complications
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