Current Approaches to the Treatment of Gastric Varices: Glue, Coil Application, TIPS, and BRTO
Gastric varices are less common than esophageal varices, and their treatment is quite challenging. Gastric varix bleedings (GVB) occur less frequently than esophageal varix (EV) bleedings and represent 10to 30% of all variceal bleedings. They are; however, more severe and are associated with high mo...
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-07-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1010-660X/55/7/335 |
| _version_ | 1797720567777853440 |
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| author | Vedat Goral Nevin Yılmaz |
| author_facet | Vedat Goral Nevin Yılmaz |
| author_sort | Vedat Goral |
| collection | DOAJ |
| description | Gastric varices are less common than esophageal varices, and their treatment is quite challenging. Gastric varix bleedings (GVB) occur less frequently than esophageal varix (EV) bleedings and represent 10to 30% of all variceal bleedings. They are; however, more severe and are associated with high mortality. Re-bleeding may occur in 35to 90% of cases after spontaneous hemostasis. GV bleedings represent a serious clinical problem compared with esophageal varices due to their location. Sclerotherapy and band ligation, in particular, are less effective. Based on the anatomic site and location, treatment differs from EV and is categorized into two groups (i.e., endoscopic or radiologic treatment). Surgical management is used less frequently. Balloon-occluded retrograde transvenous obliteration (BRTO) and cyanoacrylate are safe but there is a high risk of re-bleeding. Portal pressure elevates following BRTO and leads to worsening of esophageal varix pressure. Other significant complications may include hemoglobinuria, abdominal pain, fever, and pleural effusion. Shock and atrial fibrillation are major complications. New and efficient treatment modalities will be possible in the future. |
| first_indexed | 2024-03-12T09:22:21Z |
| format | Article |
| id | doaj.art-952a749a698f4b9882f1f5d7ca08ab70 |
| institution | Directory Open Access Journal |
| issn | 1010-660X |
| language | English |
| last_indexed | 2024-03-12T09:22:21Z |
| publishDate | 2019-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-952a749a698f4b9882f1f5d7ca08ab702023-09-02T14:26:54ZengMDPI AGMedicina1010-660X2019-07-0155733510.3390/medicina55070335medicina55070335Current Approaches to the Treatment of Gastric Varices: Glue, Coil Application, TIPS, and BRTOVedat Goral0Nevin Yılmaz1Department of Gastroenterology, School of Medicine, Istanbul Medipol University, Istanbul–34214, TurkeyDepartment of Gastroenterology, School of Medicine, Near East University, Nicosia-99138, CyprusGastric varices are less common than esophageal varices, and their treatment is quite challenging. Gastric varix bleedings (GVB) occur less frequently than esophageal varix (EV) bleedings and represent 10to 30% of all variceal bleedings. They are; however, more severe and are associated with high mortality. Re-bleeding may occur in 35to 90% of cases after spontaneous hemostasis. GV bleedings represent a serious clinical problem compared with esophageal varices due to their location. Sclerotherapy and band ligation, in particular, are less effective. Based on the anatomic site and location, treatment differs from EV and is categorized into two groups (i.e., endoscopic or radiologic treatment). Surgical management is used less frequently. Balloon-occluded retrograde transvenous obliteration (BRTO) and cyanoacrylate are safe but there is a high risk of re-bleeding. Portal pressure elevates following BRTO and leads to worsening of esophageal varix pressure. Other significant complications may include hemoglobinuria, abdominal pain, fever, and pleural effusion. Shock and atrial fibrillation are major complications. New and efficient treatment modalities will be possible in the future.https://www.mdpi.com/1010-660X/55/7/335gastric varicesbleedingglue and coil applicationBRTO |
| spellingShingle | Vedat Goral Nevin Yılmaz Current Approaches to the Treatment of Gastric Varices: Glue, Coil Application, TIPS, and BRTO Medicina gastric varices bleeding glue and coil application BRTO |
| title | Current Approaches to the Treatment of Gastric Varices: Glue, Coil Application, TIPS, and BRTO |
| title_full | Current Approaches to the Treatment of Gastric Varices: Glue, Coil Application, TIPS, and BRTO |
| title_fullStr | Current Approaches to the Treatment of Gastric Varices: Glue, Coil Application, TIPS, and BRTO |
| title_full_unstemmed | Current Approaches to the Treatment of Gastric Varices: Glue, Coil Application, TIPS, and BRTO |
| title_short | Current Approaches to the Treatment of Gastric Varices: Glue, Coil Application, TIPS, and BRTO |
| title_sort | current approaches to the treatment of gastric varices glue coil application tips and brto |
| topic | gastric varices bleeding glue and coil application BRTO |
| url | https://www.mdpi.com/1010-660X/55/7/335 |
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