Balloon occlusion retrograde transvenous obliteration of gastric varices in two non-cirrhotic patients with portal vein thrombosis

Korean J Radiol. 2014 Jan-Feb;15(1):108-13. doi: 10.3348/kjr.2014.15.1.108. Epub 2014 Jan 8.

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.

Keywords: Balloon occlusion retrograde transvenous obliteration; Embolization; Hemorrhage; Portal hypertension.

Publication types

  • Case Reports

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*