Balloon-occluded retrograde transvenous obliteration (BRTO), a promising nonsurgical therapy for ectopic varices: a case report of successful treatment of duodenal varices by BRTO.
We present a patient with massive tarry stool, diagnosed as duodenal varices bleeding. Endoscopic ligation (EL) therapy was carried out for the varices, but because the possibility of re-bleeding remained, we treated the varices with balloon-occluded retrograde transvenous obliteration (BRTO), and duodenal varices were successfully decompressed without any complications. BRTO might be a novel therapeutic approach for ectopic varices, including duodenal varices.
Haruta
I
I
Department of Radiology, Tokyo Women's Medical College, Kitasato University, Japan.
Isobe
Y
Y
Ueno
E
E
Toda
J
J
Mitsunaga
A
A
Noguchi
S
S
Kimura
T
T
Shimizu
K
K
Yamauchi
K
K
Hayashi
N
N
D002404:Catheterization; D004386:Duodenum / Q000098:blood supply*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000628:therapy; D006801:Humans; D008026:Ligation; D008875:Middle Aged; D010690:Phlebography; D011169:Portal Vein / Q000000981:diagnostic imaging; D011172:Portography; D014057:Tomography, X-Ray Computed; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000628:therapy*