分流闭塞内镜注射硬化疗法（SO-EIS）成功治疗对球囊闭塞逆行静脉栓塞术（BRTO）无效的孤立性胃静脉曲张：病例报告及文献综述

Isolated Gastric Varices Refractory to Balloon-occluded Retrograde Transvenous Obliteration (BRTO) Successfully Treated by Shunt-occluded Endoscopic Injection Sclerotherapy (SO-EIS): A Case Report and Review of the Literature.

作者信息

Hatanaka Takeshi, Kakizaki Satoru, Suzuki Yuhei, Ueno Takashi, Shimada Yasushi, Takizawa Daichi, Katakai Kenji, Sato Ken, Kusano Motoyasu, Yamada Masanobu

机构信息

Department of Internal Medicine, Isesaki Municipal Hospital, Japan.

Department of Gastroenterology, Takasaki General Medical Center, National Hospital Organization, Japan.

出版信息

Intern Med. 2017;56(9):1041-1048. doi: 10.2169/internalmedicine.56.7761. Epub 2017 May 1.

Balloon-occluded retrograde transvenous obliteration (BRTO) is widely used to treat isolated gastric varices (IGVs) in Japan. However, BRTO is difficult to perform for IGVs with many small collateral veins, and no secondary treatment has been established. We herein report a rare case of IGVs refractory to BRTO successfully treated by shunt-occluded endoscopic injection sclerotherapy (SO-EIS), which is a combination therapy of major shunt occlusion by a balloon catheter and endoscopic injection sclerotherapy. Since SO-EIS can be performed regardless of the IGVs' anatomical configuration, it may be a promising alternative treatment for IGVs refractory to BRTO.