학술논문
Spontaneous portosystemic shunt diameter predicts liver function after balloon‐occluded retrograde transvenous obliteration
Document Type
article
Author
Akihisa Tatsumi; Shinya Maekawa; Leona Osawa; Ryo Katoh; Yasuyuki Komiyama; Natsuko Nakakuki; Hitomi Takada; Shuya Matsuda; Masaru Muraoka; Yuichiro Suzuki; Mitsuaki Sato; Ei Takahashi; Mika Miura; Fumitake Amemiya; Shinichi Takano; Mitsuharu Fukasawa; Tatsuya Yamaguchi; Yasuhiro Nakayama; Taisuke Inoue; Hiroki Okada; Takuji Araki; Hiroshi Onishi; Nobuyuki Enomoto
Source
JGH Open, Vol 6, Iss 2, Pp 139-147 (2022)
Subject
Language
English
ISSN
2397-9070
Abstract
Abstract Background and Aim Recently, balloon‐occluded retrograde transvenous obliteration (BRTO), performed for spontaneous portosystemic shunts (SPSS), has been receiving attention as a measure to improve liver function in cirrhotic patients with portal hypertension. However, it is unclear whether SPSS diameter is associated with changes in hepatic venous pressure gradient (HVPG) and liver function after BRTO. Methods In 34 cirrhotic patients receiving BRTO for hepatic encephalopathy/gastric varices, the association of SPSS diameter with liver function at baseline and 6 months after BRTO and the accompanying changes in HVPG were investigated. Results Patients had Child–Pugh (CP) scores of A/B/C (7/19/8), SPSS diameters of ≤10 mm/11–20 mm/