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A 66-year-old man who presented with repeated hematemesis three times for 7 days with a history of cirrhosis and schistosomiasis was admitted to our department. The Child-Pugh score was A/6,… Click to show full abstract
A 66-year-old man who presented with repeated hematemesis three times for 7 days with a history of cirrhosis and schistosomiasis was admitted to our department. The Child-Pugh score was A/6, and MELD score was 9. Computed tomography angiography (CTA) of the portal vein revealed gastric varices (GVs) and gastrorenal shunt (GRS) (9–18 mm in diameter). Endoscopy showed gastric fundal varices (diameter in 5 cm). Balloon-occluded retrograde transvenous obliteration (BRTO) was planned to undertake as a secondary prophylaxis. BRTO was performed by using a 14-mm balloon catheter inserted via the right femoral vein. However, the GRS cannot be completely occluded and the blood flow signals can still be obviously observed by angiography [Figure 1]. At that time, immediate endoscopic
Journal Title: Endoscopic Ultrasound
Year Published: 2022
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