Balloon-occluded retrograde transvenous obliteration is feasible for prolonged portosystemic shunts after living donor liver transplantation
| Autor: | Morimasa Tomikawa, Ken Shirabe, Yoshihiro Nagao, Tomoharu Yoshizumi, Hideo Uehara, Hideaki Uchiyama, Yoshihiko Maehara, Tomohiko Akahoshi, Nao Kinjo, Hirofumi Kawanaka, Y. Soejima, Naotaka Hashimoto |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Hemodynamics Esophageal and Gastric Varices Balloon Gastroenterology Postoperative Complications Internal medicine Living Donors medicine Humans Portasystemic Shunt Surgical In patient Aged Portal Vein business.industry Liver Diseases General Medicine Balloon Occlusion Middle Aged Gastric varices medicine.disease Liver Transplantation Surgery Regional Blood Flow Feasibility Studies Female Liver function Portosystemic shunt Liver dysfunction Living donor liver transplantation business |
| Zdroj: | Surgery Today. 44:633-639 |
| ISSN: | 1436-2813 0941-1291 |
| Popis: | The purpose of our study was to evaluate the efficacy of balloon-occluded retrograde transvenous obliteration (B-RTO) in patients after living donor liver transplantation (LDLT). Five patients with gastric varices (GVx) and/or liver dysfunction who were treated with B-RTO from January 2001 to December 2007 were enrolled in this study (GVx, n = 2; liver dysfunction, n = 1; both, n = 2). The eradication rate of the GVx, portal vein hemodynamics and improvement of liver function were evaluated. B-RTO was performed successfully, and the GVx disappeared or decreased markedly in all patients. Recurrence of GVx was not observed during the follow-up. Significantly increased portal vein inflow and improved liver function were observed in all patients. B-RTO may be an effective treatment for patients after LDLT to prevent bleeding from GVx or to modulate portal vein inflow that is reduced by prolonged large portosystemic shunts. |
| Databáze: | OpenAIRE |
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