A study in 230 patients with esophageal and/or gastric varices using portal vein catheterization. Portal hemodynamics in patients with gastric varices. Watanabe K, Kimura K, Matsutani S, Ohto M, Okuda K. ConclusionīRTO is safe and efficacious for gastric varices, and current best evidence suggests that BRTO could be considered as therapy for patients with gastric varices. Clinical success (defined as no recurrence or rebleed of gastric varices, or complete obliteration of varices on subsequent imaging) rate was 97.3 % (95 % CI 95.2, 98.8 % Q = 3,105.91, p < 0.01, I 2 = 99.29 %). ResultsĪ total of 1,016 Patients from 24 studies met inclusion criteria. Meta-analysis with random effects model was performed to calculate data for immediate technical success, clinical success, and complications. Inclusion criteria were applied to select studies with at least ten patients with acute bleeding or at-risk gastric varices treated with BRTO. Materials and MethodsĪ systematic review was performed to identify relevant articles. To perform a systematic review and meta-analysis of the effectiveness and complications of BRTO for gastric varices.
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