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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
Personen und Körperschaften: Kobayashi, Kazufumi, Maruyama, Hitoshi, Kiyono, Soichiro, Sekimoto, Tadashi, Kondo, Takayuki, Shimada, Taro, Takahashi, Masanori, Okugawa, Hidehiro, Yokosuka, Osamu
In: Hepatology Research, 46, 2016, 13, S. 1321-1329
Medientyp: E-Article
Sprache: Englisch
veröffentlicht:
Wiley
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
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
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series Hepatology Research
source_id 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>
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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