KMID : 1048120160050030170
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International Journal of Gastrointestinal Intervention 2016 Volume.5 No. 3 p.170 ~ p.176
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Transjugular intrahepatic portosystemic shunts versus balloon-occluded retrograde transvenous obliteration for the management of gastric varices: Treatment algorithm according to clinical manifestations
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Kim Seung-Kwon
Sauk Steven Guevara Carlos J.
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Abstract
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Transjugular intrahepatic portosystemic shunts (TIPS) are widely used in the management of bleeding gastric varices (GV). More recently, several studies have demonstrated balloon-occluded retrograde transvenous obliteration (BRTO) as an effective treatment method for bleeding isolated GV, especially in patients with contraindications for a TIPS placement. Both TIPS and BRTO can effectively treat bleeding GV with low rebleeding rates. Careful patient selection for TIPS and BRTO procedures is required to best treat the patient¡¯s individual clinical situation.
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KEYWORD
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Balloon occlusion, Embolization, therapeutic, Esophageal and gastric varices, Portosystemic shunt, transjugular intrahepatic
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