Gastric varices, BRTO, TIPS, Chronic liver disease, Portal Hypertension, Gastrorenal shunts, Sclerosants Background Conclusion:īRTO has many advantages over TIPS for managing Gastric varices as it preserves hepatic function and reduces the risk of hepatic encephalopathy. Clinical Presentation:Ī 42-years-aged male patient who is known to have chronic parenchymal liver disease, with portal hypertension, and multiple portosystemic shunts present with sudden hematemesis after initial stabilization with endoscopic ligation of esophageal varices, he was further managed with balloon occluded retrograde transvenous obliteration of gastric varices by interventional radiology team. A transjugular intrahepatic portosystemic shunt (TIPS) is performed traditionally but Balloon-Occluded Retrograde Transvenous Obliteration is more effective than TIPS in controlling bleeding gastric varices. Upper gastrointestinal endoscopy is the first-line diagnostic and management tool for bleeding gastric varices when confronting failure in controlling gastric variceal bleeding. Arivarasan dĪHOD, Department of Radiology, Kauvery Hospital, TrichyīConsultant Radiologist, Kauvery Hospital, SalemĬResident Radiology, Kauvery Hospital, TrichyĭConsultant Gastroenterologist, Kauvery Hospital, Trichy Volume 5 - Issue 4 Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) of gastric varices: A case report
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