Successful Treatment of Bleeding Rectal Varices with Balloon-Occluded Antegrade Transvenous Obliteration
نویسندگان
چکیده
We report the first described case in the United States of balloon-occluded antegrade transvenous obliteration (BATO) performed in a cirrhotic patient with recurrent bleeding from large rectal varices. This is a novel interventional radiology approach to treat bleeding rectal varices. Our patient was a poor candidate for transjugular intrahepatic portosystemic shunt and endoscopic band ligation. Successful BATO produced complete resolution of rectal varices and no further rectal bleeding. There are no established guidelines for the management of rectal varices. We demonstrate that the BATO technique is a viable option to treat recurrent bleeding due to rectal varices.
منابع مشابه
Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) of Gastric Varices
Patients with cirrhosis of the liver can develop gastric or gastroesophageal varices, which can bleed and become life threatening Gastric varices pose unique management challenges, as endoscopic therapies are limited Balloon-occluded retrograde transvenous obliteration (BRTO) is a treatment option for gastric varice at high risk of bleeding The BRTO is recommended for patients with gastrorenal ...
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Rectal varices most commonly develop in patients with portal hypertension due to liver cirrhosis. Although rectal varices rarely cause bleeding, their rupture can lead to life-threatening massive hemorrhages. Balloonoccluded retrograde obliteration (BRTO) is feasible in cases of varices involving a single or a few drainage vessels. Although rectal varices usually have numerous drainage vessels,...
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