Balloon-Occluded Retrograde Transvenous Obliteration (BRTO): A Novel Method of Obliterating Gastric Varices. Report of Six Cases and Review of Literature

  • Ajit Thapa Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal
  • Dinesh Koirala Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal
  • Rahul Pathak Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal
  • Dinesh Chataut Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal
  • Sashi Sharma Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal
  • Brindeswari Kafle Bhandari Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal
  • Anurag Jha Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal
  • Rabin Hamal Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal
  • Rajesh Pandey Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal
  • Arun Gyawali Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal
  • Mohan Bhusal Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal
Keywords: balloon-occluded retrograde transvenous obliteration, gastric varices

Abstract

Portal hypertension results in various complications, gastroesophageal varices being one of them. Although less common than esophageal varices, gastric varices are difficult to obliterate and carry a higher mortality rate when bleeding occurs. They are less amenable to sclerotherapy, endoscopic variceal ligation. Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) has been developed as a minimal invasive procedure to obliterate gastric varices. BRTO is an endovascular procedure where a balloon catheter is inserted into a draining vein of gastric varix, and the sclerosant can be injected into the varices through the catheter during balloon occlusion. We report six cases where BRTO was done for gastric varices obliteration.

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Author Biographies

Ajit Thapa, Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal

Department of Radiology and Imaging

Dinesh Koirala, Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal

Department of Gastroenterology and Hepatology

Rahul Pathak, Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal

Department of Gastroenterology and Hepatology

Dinesh Chataut, Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal

Department of Radiology and Imaging

Sashi Sharma, Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal

Department of Gastroenterology and Hepatology

Brindeswari Kafle Bhandari, Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal

Department of Gastroenterology and Hepatology

Anurag Jha, Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal

Department of Gastroenterology and Hepatology

Rabin Hamal, Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal

Department of Gastroenterology and Hepatology

Rajesh Pandey, Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal

Department of Gastroenterology and Hepatology

Arun Gyawali, Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal

Department of Gastroenterology and Hepatology

Mohan Bhusal, Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal

Department of Gastroenterology and Hepatology

Published
2020-11-10
How to Cite
Thapa, A., Koirala, D., Pathak, R., Chataut, D., Sharma, S., Bhandari, B., Jha, A., Hamal, R., Pandey, R., Gyawali, A., & Bhusal, M. (2020). Balloon-Occluded Retrograde Transvenous Obliteration (BRTO): A Novel Method of Obliterating Gastric Varices. Report of Six Cases and Review of Literature. Journal of Advances in Internal Medicine, 9(2), 89-93. https://doi.org/10.3126/jaim.v9i2.31049
Section
Case Reports