The initial result of antegrade transvenous obliteration gastric varices in cirrhosis patients

https://doi.org/10.52322/jocmbmh.121.10

Abstract

Objectives: To evaluate the initial results in antegrade transvenous obliteration method in cirrhotic patients with gastrointestinal bleeding.

Material and Methods: 7 patients diagnosed with cirrhosis of the liver with gastrointestinal bleeding due to rupture of a gastric varices from June 2020 to March 2021 received an antegrade transvenous obliteration intervention. Patients were assessed for endoscopy and MSCT before treatment, immediate effect after intervention on DSA imaging and clinical improvement.

Results: 7 cirrhosis patients with gastrointestinal hemorrhage due to rupture of gastric varices were performed antegrade transvenous obliteration, of which 2 patients were treated with a combination of both PARTO and ATO. On the DSA image all the feeding veins are achieved absolute occlusion, no cases of acute gastrointestinal bleeding within 3 days after the intervention. There was no recurrent gastrointestinal bleeding, and were discharged after 7 days. There were 3 patients who went to the examination again after 1 month, 3 months, endoscopy and MSCT scan showed reduction of phlegmon dilated, no gastrointestinal bleeding.

Conclusion: Antegrade transvenous obliteration intervention is an effective method in patients with gastric varice rupture but without gastrorenal shunt or modified gastrorenal shunt cannot performed simple PARTO method.