title: Balloon-occluded retrograde transvenous obliteration for recurrent fundal gastric variceal bleeding in an adolescent.
abstract: Gastric variceal bleeding is associated with high morbidity and mortality. Balloon-occluded retrograde transvenous obliteration is a relatively new treatment used to control bleeding gastric varices that involves transvenous sclerosis of gastric varices through a spontaneous gastrorenal shunt. Here, we report on a 14-yr-old patient that underwent balloon-occluded retrograde transvenous obliteration for refractory bleeding fundal varices in the setting of esophageal varices and cirrhosis, which did not respond to medical management or endoscopic injection. This case report serves as a reminder that balloon-occluded retrograde transvenous obliteration can successfully control fundal variceal bleeding in pediatric patients and may serve as a bridge to liver transplantation.
authors.affiliation: Department of Pediatric Gastroenterology, Department of Pediatric Hepatology, Recanati/Miller Transplant Institute, Mount Sinai Medical Center, New York, NY, USA.
authors.forename: Danya
authors.initials: D
authors.lastname: Rosen
authors.forename: Jaime
authors.initials: J
authors.lastname: Chu
authors.forename: Rahul
authors.initials: R
authors.lastname: Patel
authors.forename: Jang
authors.initials: J
authors.lastname: Moon
authors.forename: Kishore
authors.initials: K
authors.lastname: Iyer
authors.forename: Ronen
authors.initials: R
authors.lastname: Arnon
mesh_terms: D000293:Adolescent; D021721:Balloon Occlusion / Q000379:methods*; D003937:Diagnosis, Differential; D016145:Endoscopy, Digestive System; D004932:Esophageal and Gastric Varices / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D016031:Liver Transplantation; D012008:Recurrence; D012597:Sclerosing Solutions / Q000627:therapeutic use
chemical_list: D012597:Sclerosing Solutions
keywords: adolescent; cirrhosis; gastrointestinal; pediatric liver transplantation