Endoscopic variceal obturation and retrograde transvenous obliteration for acute gastric cardiofundal variceal bleeding in liver cirrhosis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Han Ah | - |
dc.contributor.author | Kwak, Jungwon | - |
dc.contributor.author | Cho, Sung Bum | - |
dc.contributor.author | Lee, Young-Sun | - |
dc.contributor.author | Jung, Young Kul | - |
dc.contributor.author | Kim, Ji Hoon | - |
dc.contributor.author | Kim, Seung Up | - |
dc.contributor.author | An, Hyonggin | - |
dc.contributor.author | Yim, Hyung Joon | - |
dc.contributor.author | Yeon, Jong Eun | - |
dc.contributor.author | Seo, Yeon Seok | - |
dc.date.accessioned | 2022-08-25T12:40:52Z | - |
dc.date.available | 2022-08-25T12:40:52Z | - |
dc.date.created | 2022-08-25 | - |
dc.date.issued | 2022-07-26 | - |
dc.identifier.issn | 1471-230X | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/143348 | - |
dc.description.abstract | Background/Aims We retrospectively compared the effect of endoscopic variceal obturation (EVO) and retrograde transvenous obliteration (RTO) in acute cardiofundal variceal bleeding. Methods Patients with acute cardiofundal variceal bleeding treated with EVO or RTO at two hospitals were included. Results Ninety patients treated with EVO and 86 treated with RTO were analyzed. The mean model for end-stage liver disease score was significantly higher in EVO group than in RTO group (13.5 vs. 11.7, P = 0.016). The bleeding control rates were high (97.8% vs. 96.5%), and the treatment-related complication rates were low in both EVO and RTO groups (2.2% vs. 3.5%). During the median follow-up of 18.0 months, gastric variceal (GV) and esophageal variceal rebleeding occurred in 34 (19.3%) and 7 (4.0%) patients, respectively. The all-variceal rebleeding rates were comparable between EVO and RTO groups (32.4% vs. 20.8% at 2-year, P = 0.150), while the GV rebleeding rate was significantly higher in EVO group than in RTO group (32.4% vs. 12.8% at 2-year, P = 0.003). On propensity score-matched analysis (71 patients in EVO vs. 71 patients in RTO group), both all-variceal and GV rebleeding rates were significantly higher in EVO group than in RTO group (all P < 0.05). In Cox regression analysis, EVO (vs. RTO) was the only significant predictor of higher GV rebleeding risk (hazard ratio 3.132, P = 0.005). The mortality rates were similar between two groups (P = 0.597). Conclusions Both EVO and RTO effectively controlled acute cardiofundal variceal bleeding. RTO was superior to EVO in preventing all-variceal and GV rebleeding after treatment, with similar survival outcomes. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | BMC | - |
dc.subject | INTRAHEPATIC PORTOSYSTEMIC SHUNT | - |
dc.subject | TERM FOLLOW-UP | - |
dc.subject | PORTAL-HYPERTENSION | - |
dc.subject | MANAGEMENT | - |
dc.subject | DIAGNOSIS | - |
dc.subject | CYANOACRYLATE | - |
dc.subject | HEMORRHAGE | - |
dc.subject | ESOPHAGEAL | - |
dc.subject | INJECTION | - |
dc.subject | OUTCOMES | - |
dc.title | Endoscopic variceal obturation and retrograde transvenous obliteration for acute gastric cardiofundal variceal bleeding in liver cirrhosis | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, Young-Sun | - |
dc.identifier.doi | 10.1186/s12876-022-02428-1 | - |
dc.identifier.scopusid | 2-s2.0-85134755805 | - |
dc.identifier.wosid | 000830709500001 | - |
dc.identifier.bibliographicCitation | BMC GASTROENTEROLOGY, v.22, no.1 | - |
dc.relation.isPartOf | BMC GASTROENTEROLOGY | - |
dc.citation.title | BMC GASTROENTEROLOGY | - |
dc.citation.volume | 22 | - |
dc.citation.number | 1 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | INTRAHEPATIC PORTOSYSTEMIC SHUNT | - |
dc.subject.keywordPlus | TERM FOLLOW-UP | - |
dc.subject.keywordPlus | PORTAL-HYPERTENSION | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | DIAGNOSIS | - |
dc.subject.keywordPlus | CYANOACRYLATE | - |
dc.subject.keywordPlus | HEMORRHAGE | - |
dc.subject.keywordPlus | ESOPHAGEAL | - |
dc.subject.keywordPlus | INJECTION | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordAuthor | Rebleeding | - |
dc.subject.keywordAuthor | Prevention | - |
dc.subject.keywordAuthor | Balloon-occluded retrograde transvenous obliteration | - |
dc.subject.keywordAuthor | Vascular plug-assisted retrograde transvenous obliteration | - |
dc.subject.keywordAuthor | Portal hypertension | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.