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Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis
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Zeitschriftentitel: | Hepatology Research |
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Personen und Körperschaften: | , , , , , , , , |
In: | Hepatology Research, 46, 2016, 13, S. 1321-1329 |
Medientyp: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
Wiley
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Schlagwörter: |
author_facet |
Kobayashi, Kazufumi Maruyama, Hitoshi Kiyono, Soichiro Sekimoto, Tadashi Kondo, Takayuki Shimada, Taro Takahashi, Masanori Okugawa, Hidehiro Yokosuka, Osamu Kobayashi, Kazufumi Maruyama, Hitoshi Kiyono, Soichiro Sekimoto, Tadashi Kondo, Takayuki Shimada, Taro Takahashi, Masanori Okugawa, Hidehiro Yokosuka, Osamu |
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author |
Kobayashi, Kazufumi Maruyama, Hitoshi Kiyono, Soichiro Sekimoto, Tadashi Kondo, Takayuki Shimada, Taro Takahashi, Masanori Okugawa, Hidehiro Yokosuka, Osamu |
spellingShingle |
Kobayashi, Kazufumi Maruyama, Hitoshi Kiyono, Soichiro Sekimoto, Tadashi Kondo, Takayuki Shimada, Taro Takahashi, Masanori Okugawa, Hidehiro Yokosuka, Osamu Hepatology Research Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis Infectious Diseases Hepatology |
author_sort |
kobayashi, kazufumi |
spelling |
Kobayashi, Kazufumi Maruyama, Hitoshi Kiyono, Soichiro Sekimoto, Tadashi Kondo, Takayuki Shimada, Taro Takahashi, Masanori Okugawa, Hidehiro Yokosuka, Osamu 1386-6346 1872-034X Wiley Infectious Diseases Hepatology http://dx.doi.org/10.1111/hepr.12690 <jats:sec><jats:title>Aim</jats:title><jats:p>To determine the prognostic effect of portal hemodynamic responses after balloon‐occluded retrograde transvenous obliteration (B‐RTO) for gastric varices (GV) in cirrhosis patients.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This retrospective study consisted of 37 cirrhosis patients (aged 62.5 ± 9.7 years) with medium‐ or large‐grade GV treated with B‐RTO. Portal hemodynamic response was assessed by the changes in flow volume in the portal trunk (PFV, mL/min) before and after the treatment. Group I showed increased PFV and group II showed no increase in PFV. The median observation period was 49.8 months (range, 4.7–150.3 months).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>All patients showed complete embolization of GV without any recurrence. There were 30 patients in group I and 7 patients in group II (decreased PFV in 6 and unchanged PFV in 1). The PFV at baseline was significantly lower in the former (583.5 ± 232.0 mL/min) than in the latter (880.7 ± 345.9 mL/min; <jats:italic>P</jats:italic> = 0.009). The survival rate was significantly lower in group II (83.3% at 1 year and 66.7% at 3 years) than in group I (96.7% at 1 year, 81.5% at 3 years, and 61.8% at 5 years; <jats:italic>P</jats:italic> = 0.012). The incidence of deterioration of the esophageal varices was 18/30 (60%) in group I and 5/7 (71.4%; <jats:italic>P</jats:italic> = 0.687) in group II. Multivariate analysis identified only no increase in portal response (hazard ratio, 8.086; <jats:italic>P</jats:italic> = 0.005) as an independent factor for poor prognosis.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Balloon‐occluded retrograde transvenous obliteration for GV may result in a poor prognosis when portal hemodynamics shows no increase in portal response.</jats:p></jats:sec> Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis Hepatology Research |
doi_str_mv |
10.1111/hepr.12690 |
facet_avail |
Online |
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Medizin |
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ElectronicArticle |
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DE-Gla1 DE-Zi4 DE-15 DE-Pl11 DE-Rs1 DE-105 DE-14 DE-Ch1 DE-L229 DE-D275 DE-Bn3 DE-Brt1 DE-D161 |
imprint |
Wiley, 2016 |
imprint_str_mv |
Wiley, 2016 |
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1386-6346 1872-034X |
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1386-6346 1872-034X |
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English |
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2016 |
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Wiley |
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Hepatology Research |
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49 |
title |
Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_unstemmed |
Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_full |
Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_fullStr |
Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_full_unstemmed |
Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_short |
Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_sort |
portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
topic |
Infectious Diseases Hepatology |
url |
http://dx.doi.org/10.1111/hepr.12690 |
publishDate |
2016 |
physical |
1321-1329 |
description |
<jats:sec><jats:title>Aim</jats:title><jats:p>To determine the prognostic effect of portal hemodynamic responses after balloon‐occluded retrograde transvenous obliteration (B‐RTO) for gastric varices (GV) in cirrhosis patients.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This retrospective study consisted of 37 cirrhosis patients (aged 62.5 ± 9.7 years) with medium‐ or large‐grade GV treated with B‐RTO. Portal hemodynamic response was assessed by the changes in flow volume in the portal trunk (PFV, mL/min) before and after the treatment. Group I showed increased PFV and group II showed no increase in PFV. The median observation period was 49.8 months (range, 4.7–150.3 months).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>All patients showed complete embolization of GV without any recurrence. There were 30 patients in group I and 7 patients in group II (decreased PFV in 6 and unchanged PFV in 1). The PFV at baseline was significantly lower in the former (583.5 ± 232.0 mL/min) than in the latter (880.7 ± 345.9 mL/min; <jats:italic>P</jats:italic> = 0.009). The survival rate was significantly lower in group II (83.3% at 1 year and 66.7% at 3 years) than in group I (96.7% at 1 year, 81.5% at 3 years, and 61.8% at 5 years; <jats:italic>P</jats:italic> = 0.012). The incidence of deterioration of the esophageal varices was 18/30 (60%) in group I and 5/7 (71.4%; <jats:italic>P</jats:italic> = 0.687) in group II. Multivariate analysis identified only no increase in portal response (hazard ratio, 8.086; <jats:italic>P</jats:italic> = 0.005) as an independent factor for poor prognosis.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Balloon‐occluded retrograde transvenous obliteration for GV may result in a poor prognosis when portal hemodynamics shows no increase in portal response.</jats:p></jats:sec> |
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author | Kobayashi, Kazufumi, Maruyama, Hitoshi, Kiyono, Soichiro, Sekimoto, Tadashi, Kondo, Takayuki, Shimada, Taro, Takahashi, Masanori, Okugawa, Hidehiro, Yokosuka, Osamu |
author_facet | Kobayashi, Kazufumi, Maruyama, Hitoshi, Kiyono, Soichiro, Sekimoto, Tadashi, Kondo, Takayuki, Shimada, Taro, Takahashi, Masanori, Okugawa, Hidehiro, Yokosuka, Osamu, Kobayashi, Kazufumi, Maruyama, Hitoshi, Kiyono, Soichiro, Sekimoto, Tadashi, Kondo, Takayuki, Shimada, Taro, Takahashi, Masanori, Okugawa, Hidehiro, Yokosuka, Osamu |
author_sort | kobayashi, kazufumi |
container_issue | 13 |
container_start_page | 1321 |
container_title | Hepatology Research |
container_volume | 46 |
description | <jats:sec><jats:title>Aim</jats:title><jats:p>To determine the prognostic effect of portal hemodynamic responses after balloon‐occluded retrograde transvenous obliteration (B‐RTO) for gastric varices (GV) in cirrhosis patients.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This retrospective study consisted of 37 cirrhosis patients (aged 62.5 ± 9.7 years) with medium‐ or large‐grade GV treated with B‐RTO. Portal hemodynamic response was assessed by the changes in flow volume in the portal trunk (PFV, mL/min) before and after the treatment. Group I showed increased PFV and group II showed no increase in PFV. The median observation period was 49.8 months (range, 4.7–150.3 months).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>All patients showed complete embolization of GV without any recurrence. There were 30 patients in group I and 7 patients in group II (decreased PFV in 6 and unchanged PFV in 1). The PFV at baseline was significantly lower in the former (583.5 ± 232.0 mL/min) than in the latter (880.7 ± 345.9 mL/min; <jats:italic>P</jats:italic> = 0.009). The survival rate was significantly lower in group II (83.3% at 1 year and 66.7% at 3 years) than in group I (96.7% at 1 year, 81.5% at 3 years, and 61.8% at 5 years; <jats:italic>P</jats:italic> = 0.012). The incidence of deterioration of the esophageal varices was 18/30 (60%) in group I and 5/7 (71.4%; <jats:italic>P</jats:italic> = 0.687) in group II. Multivariate analysis identified only no increase in portal response (hazard ratio, 8.086; <jats:italic>P</jats:italic> = 0.005) as an independent factor for poor prognosis.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Balloon‐occluded retrograde transvenous obliteration for GV may result in a poor prognosis when portal hemodynamics shows no increase in portal response.</jats:p></jats:sec> |
doi_str_mv | 10.1111/hepr.12690 |
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imprint | Wiley, 2016 |
imprint_str_mv | Wiley, 2016 |
institution | DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1, DE-L229, DE-D275, DE-Bn3, DE-Brt1, DE-D161 |
issn | 1386-6346, 1872-034X |
issn_str_mv | 1386-6346, 1872-034X |
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match_str | kobayashi2016portalresponserelatedtoshuntocclusionbyballoonoccludedretrogradetransvenousobliterationmaydeterminetheprognosisofcirrhosis |
mega_collection | Wiley (CrossRef) |
physical | 1321-1329 |
publishDate | 2016 |
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publisher | Wiley |
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series | Hepatology Research |
source_id | 49 |
spelling | Kobayashi, Kazufumi Maruyama, Hitoshi Kiyono, Soichiro Sekimoto, Tadashi Kondo, Takayuki Shimada, Taro Takahashi, Masanori Okugawa, Hidehiro Yokosuka, Osamu 1386-6346 1872-034X Wiley Infectious Diseases Hepatology http://dx.doi.org/10.1111/hepr.12690 <jats:sec><jats:title>Aim</jats:title><jats:p>To determine the prognostic effect of portal hemodynamic responses after balloon‐occluded retrograde transvenous obliteration (B‐RTO) for gastric varices (GV) in cirrhosis patients.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This retrospective study consisted of 37 cirrhosis patients (aged 62.5 ± 9.7 years) with medium‐ or large‐grade GV treated with B‐RTO. Portal hemodynamic response was assessed by the changes in flow volume in the portal trunk (PFV, mL/min) before and after the treatment. Group I showed increased PFV and group II showed no increase in PFV. The median observation period was 49.8 months (range, 4.7–150.3 months).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>All patients showed complete embolization of GV without any recurrence. There were 30 patients in group I and 7 patients in group II (decreased PFV in 6 and unchanged PFV in 1). The PFV at baseline was significantly lower in the former (583.5 ± 232.0 mL/min) than in the latter (880.7 ± 345.9 mL/min; <jats:italic>P</jats:italic> = 0.009). The survival rate was significantly lower in group II (83.3% at 1 year and 66.7% at 3 years) than in group I (96.7% at 1 year, 81.5% at 3 years, and 61.8% at 5 years; <jats:italic>P</jats:italic> = 0.012). The incidence of deterioration of the esophageal varices was 18/30 (60%) in group I and 5/7 (71.4%; <jats:italic>P</jats:italic> = 0.687) in group II. Multivariate analysis identified only no increase in portal response (hazard ratio, 8.086; <jats:italic>P</jats:italic> = 0.005) as an independent factor for poor prognosis.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Balloon‐occluded retrograde transvenous obliteration for GV may result in a poor prognosis when portal hemodynamics shows no increase in portal response.</jats:p></jats:sec> Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis Hepatology Research |
spellingShingle | Kobayashi, Kazufumi, Maruyama, Hitoshi, Kiyono, Soichiro, Sekimoto, Tadashi, Kondo, Takayuki, Shimada, Taro, Takahashi, Masanori, Okugawa, Hidehiro, Yokosuka, Osamu, Hepatology Research, Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis, Infectious Diseases, Hepatology |
title | Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_full | Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_fullStr | Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_full_unstemmed | Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_short | Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_sort | portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
title_unstemmed | Portal response related to shunt occlusion by balloon‐occluded retrograde transvenous obliteration may determine the prognosis of cirrhosis |
topic | Infectious Diseases, Hepatology |
url | http://dx.doi.org/10.1111/hepr.12690 |