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Balloon-occluded Retrograde Transvenous Obliteration Treats Hepatic Dysfunction and Gastric Varices

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Author(s)
Jin-Bok HwangEun Young JungWoo-Hyun ParkYoung Hwan KimAe Suk Kim
Keimyung Author(s)
Hwang, Jin BokKim, Young HwanJung, Eun YoungPark, Woo Hyun
Department
Dept. of Pediatrics (소아청소년학)
Dept. of Radiology (영상의학)
Dept. of Surgery (외과학)
Journal Title
Journal of Pediatric Gastroenterology and Nutrition
Issued Date
2011
Volume
52
Issue
2
Abstract
The survival rate of patients with biliary atresia has been
increasing since the introduction of Kasai (hepatic) portoenterostomy
(1); however, because it is an auxiliary treatment unable
to solve the progressive cholangiopathy, mortality and rates of
complications, such as variceal bleeding, remain high. Miscellaneous
modalities including endoscopy, intervention, and surgery
have been introduced to treat variceal bleeding. Balloon-occluded
retrograde transvenous obliteration (B-RTO) is now widely performed
to treat gastric varices, and several reports have described
the effectiveness of B-RTO in adults (2). Moreover, the hemodynamic
alternations after B-RTO may improve hepatic function by
resolving the problem of hepatic insufficiency (3). Children with
biliary atresia have less severe hepatic dysfunction than adults with
end-stage liver disease and are thus likely to show a better result,
after B-RTO. However, there is no case report on the correlation
between hepatic function and B-RTO in children. We report a case
of successfully performed B-RTO in a 9-year-old girl with gastric
variceal bleeding after a Kasai operation and its positive influence
on hepatic function.
Keimyung Author(s)(Kor)
황진복
김영환
정은영
박우현
Publisher
School of Medicine
Citation
Jin-Bok Hwang et al. (2011). Balloon-occluded Retrograde Transvenous Obliteration Treats Hepatic Dysfunction and Gastric Varices. Journal of Pediatric Gastroenterology and Nutrition, 52(2), 219–221. doi: 10.1097/MPG.0b013e3181f8a8b3
Type
Article
ISSN
0277-2116
Source
http://lps3.insights.ovid.com.proxy.dsmc.or.kr/pubmed?pmid=21240016
DOI
10.1097/MPG.0b013e3181f8a8b3
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34211
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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