Treatment of bleeding gastric varices with Balloonoccluded retrograde transvenous obliteration technique: a case report

Le Thanh Dung1, Ngo Vinh Hoai2,, Vu Hoai Linh3, Nguyen Mau Dinh1
1 Viet Duc hospital
2 Graduate student at Hanoi Medical University
3 Viet Duc Hospital

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Abstract

SUMMARY
Background: The risk of gastric variceal bleeding is about 10-36%, however it has a high mortality rate (14- 45%). In order to treat gastric varices, we began to use BRTO technique.
Clinical case: 70 years old male, with chronic HBV and recurrent HCC, admitted to our hospital with upper GI hemorrhage. MDCT and endoscopy showed grade 3-4 gastric varices with bleeding in endoscopy. Patient was treated with BRTO. After 3 month, MDCT showed reduction in diameter of gastric varice, without any enhancement.
Conclusion: BRTO is an effective method to treat gastric varices with minimal side effect.

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References

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