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위신단락이 있는 위정맥류 환자에서 B-RTO의 치료효과
백광호 ( Baeg Gwang Ho ),김동준 ( Kim Dong Jun ),김진봉 ( Kim Jin Bong ),공승진 ( Gong Seung Jin ),이자영 ( Lee Ja Yeong ),한태호 ( Han Tae Ho ),박상훈 ( Park Sang Hun ),이명석 ( Lee Myeong Seog ),박충기 ( Park Chung Gi ),황우철 ( 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
<목적> 위정맥류에 의한 출혈은 간경변환자에서 문맥고혈압의 가장 위중한 합병증중 하나로 알려져 있다. 본 연구의 목적은 위-신단락이 있고 위정맥류의 출혈의 고위험성 혹은 출혈 병력이 있는 위정맥류 환자에서 위정맥류에 대한 Balloon-Occluded Retrograde Transvenous Obliteration (B-RTO)의 치료효과를 알아보고자 하였다. <방법> 2000년 3월부터 2002년 12월까지 위-신단락이 있고 위정맥류 출혈의 고위험군
위신단락이 있는 간경변 환자의 위정맥류 치료에 있어서 역행성경정맥위정맥류폐색술의 치료 효과
백광호 ( Baeg Gwang Ho ),김동준 ( Kim Dong Jun ),이호권 ( Lee Ho Gwon ),민슬기 ( Min Seul Gi ),공승진 ( Gong Seung Jin ),김진봉 ( Kim Jin Bong ),이자영 ( Lee Ja Yeong ),한태호 ( Han Tae Ho ),백일현 ( Baeg Il Hyeon ),김종혁 ( Kim J 대한소화기학회 2004 대한소화기학회지 Vol.43 No.3
Background/Aims: Rupture of gastric varices was one of the most dreadful complications of cirrhosis. Recently, a new interventional procedure, balloon-occluded retrograde transvenous obliteration (B-RTO) was introduced for the treatment of gastric variceal bleeding. This study was performed to evaluate the therapeutic efficacy of B-RTO in the treatment of gastric varices with gastro-renal shunts. Methods: From March 2000 to June 2003, we performed B-RTO in 17 patients with gastric varices and gastrorenal shunts. All patients had history or high risk factors of gastric variceal bleeding. For the evaluation of therapeutic efficacy, we performed esophago-gastroduodenoscopy (EGD) and computed tomography (CT) at 1, 6 and 12 months after B-RTO. Successful B-RTO was judged by combined CT findings and EGD findings (disappearance of gastric varices or markedly reduced gastric variceal size or bleeding risk) during follow-up periods (1-14 months, mean:6.18). We analyzed the clinical factors related to clinical success of B-RTO. Results: Technical success were achieved in all patients except one (94.1%). Gastric varices were disappeared or decreased after B-RTO in 13 patients (81.2%). Complications related to procedure included transient hematuria (n=5), puncture site oozing (n=1) and partial splenic infarction (n=1), and all were conservatively managed. During the follow up periods, neither significant hepatic nor renal functional damages occurred. Statistically, no significant factors related with B-RTO success. Conclusions: B-RTO is effective and safe in the management of gastric varices in cirrhotic patients with gastrorenal shunt. Korean J Gastroenterol 2004;43:196-203)