Efficacy and safety of combined endoscopic cyanoacrylate injection and balloon-occluded retrograde transvenous occlusion (BRTOcc) of gastrorenal shunts in patients with bleeding gastric fundal varices.

Journal: Gastroenterology report
Published Date:

Abstract

BACKGROUND: Endoscopic cyanoacrylate (glue) injection of fundal varices may result in life-threatening embolic adverse events through spontaneous gastrorenal shunts (GRSs). Balloon-occluded retrograde transvenous occlusion (BRTOcc) of GRSs during cyanoacrylate injection may prevent serious systemic glue embolization through the shunt. This study aimed to evaluate the efficacy and safety of a combined endoscopic-interventional radiologic (BRTOcc) approach for the treatment of bleeding fundal varices.

Authors

  • Fateh Bazerbachi
    Division of Gastroenterology, Interventional Endoscopy Program, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Akira Dobashi
    Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
  • Swarup Kumar
    Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
  • Sanjay Misra
    Department of Applied Data Science, Institute for Energy Technology, Halden, Norway.
  • Navtej S Buttar
    Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
  • Louis M Wong Kee Song
    Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.

Keywords

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