McCarty Thomas R, Bakhit Mena, Rustagi Tarun
Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
J Gastrointestin Liver Dis. 2016 Mar;25(1):115-7. doi: 10.15403/jgld.2014.1121.251.mcc.
Isolated gastric varices are far less prevalent in Western countries where the rate of splenic thrombosis is much lower. However, in Asian countries the entity is more common and therefore a more robust treatment approach has been developed. Balloon-occlusive retrograde transvenous obliteration (BRTO) was first described in 1984 and then revived in 1996. The procedure, while uncommon in the U.S. and not recognized by the AASLD practice guidelines, allows for direct exclusion from the portosystemic system. Here we describe the case of a patient with alcoholic cirrhosis decompensated by bleeding gastric varices treated with BRTO.
孤立性胃静脉曲张在西方国家远没有那么普遍，在这些国家脾血栓形成的发生率要低得多。然而，在亚洲国家，这种情况更为常见，因此已经开发出了一种更有效的治疗方法。球囊闭塞逆行静脉闭塞术（BRTO）于1984年首次被描述，1996年重新兴起。该手术在美国并不常见，也未被美国肝病研究学会（AASLD）实践指南认可，但它能直接将胃静脉曲张从门体循环中排除。在此，我们描述了一例因胃静脉曲张出血导致失代偿的酒精性肝硬化患者接受BRTO治疗的病例。
