메뉴 건너뛰기
.. 내서재 .. 알림
소속 기관/학교 인증
인증하면 논문, 학술자료 등을  무료로 열람할 수 있어요.
한국대학교, 누리자동차, 시립도서관 등 나의 기관을 확인해보세요
(국내 대학 90% 이상 구독 중)
로그인 회원가입 고객센터 ENG
주제분류
인문학
인문학 일반 역사학 철학 종교학 어문학 기타 인문학
사회과학
사회과학 일반 경영학 관광학 교육학 군사학 문헌정보학 법학 사회학 신문방송학 심리과학 정치외교학 지리학 행정학 경제학 무역학 인류학 기타 사회과학
자연과학
자연과학 일반 물리학 생물학 생활과학 수학·통계학 천문학 지구과학 화학 기타 자연과학
공학
공학 일반 건축공학 기계공학 산업공학 재료·에너지공학 전기전자공학 조선해양공학 화학공학 컴퓨터학 기타공학
의약학
의학 일반 간호학 수의학 약학 한의학 기초의학 임상의학 기타 의약학
농수해양학
농수해양학 일반 농학 수산학 식품과학 임학 축산학 해상운송학 기타 농수해양학
예술체육학
예술 일반 디자인 미술 미용 사진 음악학 의상 체육 공연매체예술 기타 예술체육학
복합학
학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

ENG

추천
검색

논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한간학회 Clinical and Molecular Hepatology Clinical and Molecular Hepatology 제18권 제4호
발행연도
2012.1
수록면
368 - 374 (7page)

이용수

표지
📌
연구주제
📖
연구배경
🔬
연구방법
🏆
연구결과
AI에게 요청하기
추천
검색

초록· 키워드

오류제보하기
Background/Aims: This study evaluated the clinical outcomes of balloon-occluded retrograde transvenous obliteration (BRTO) for the treatment of hemorrhage from gastric varices (GV) in Korean patients with liver cirrhosis (LC). Methods: We retrospectively analyzed data from 183 LC patients who underwent BRTO for GV bleeding in 6 universitybased hospitals between January 2001 and December 2010. Results: Of the 183 enrolled patients, 49 patients had Child-Pugh (CP) class A LC, 105 had CP class B, and 30 had CP class C at the time of BRTO. BRTO was successfully performed in 177 patients (96.7%). Procedure-related complications (e.g., pulmonary thromboembolism and renal infarction) occurred in eight patients (4.4%). Among 151 patients who underwent follow-up examinations of GV, 79 patients (52.3%) achieved eradication of GV, and 110 patients (72.8%) exhibited marked shrinkage of the treated GV to grade 0 or I. Meanwhile, new-appearance or aggravation of esophageal varices (EV) occurred in 54 out of 136 patients who underwent follow-up endoscopy (41.2%). During the 36.0±29.2 months (mean±SD) of follow-up, 39 patients rebled (hemorrhage from GV in 7, EV in 18, nonvariceal origin in 4, and unknown in 10 patients). The estimated 3-year rebleeding-free rate was 74.8%, and multivariate analysis showed that CP class C was associated with rebleeding (odds ratio, 2.404; 95% confidence-interval, 1.013-5.704; P=0.047). Conclusions: BRTO can be performed safely and effectively for the treatment of GV bleeding. However, aggravation of EV or bleeding from EV is not uncommon after BRTO; thus, periodic endoscopy to follow-up of EV with or without prophylactic treatment might be necessary in LC patients undergoing BRTO. (Clin Mol Hepatol 2012;18:368-374)
#Balloon-occluded retrograde transvenous obliteration #Esophageal varices #Gastric varices #Liver cirrhosis #Variceal hemorrhage

목차

등록된 정보가 없습니다.

참고문헌 (1)

참고문헌 신청
Sarin SK / 1992 / Prevalence, classification and natural history of gastric varices: a longterm follow-up study in 568 portal hypertension patients / Hepatology 16 : 1343 ~ 1349 | 2. [학술지(정기간행물)] - Ryan BM / 2004 / A pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices / Gastroenterology 126 : 1175 ~ 1189 | 3. [학술지(정기간행물)] - Sarin SK / 1988 / Endoscopic sclerotherapy in the treatment of gastric varices / Br J Surg 75 : 747 ~ 750 | 4. [학술지(정기간행물)] - Sanyal AJ / 1997 / The natural history of portal hypertension after transjugular intrahepatic portosystemic shunts / Gastroenterology 112 : 889 ~ 898 | 5. [학술지(정기간행물)] - Idezuki Y / 1992 / Present status of sclerotherapy and surgical treatment for esophageal varices in Japan. Japanese Research Society for Portal Hypertension and Japanese Research Society for Sclerotherapy of Esophageal Varices / World J Surg 16 : 1193 ~ 1200 | 6. [학술지(정기간행물)] - Kanagawa H / 1996 / Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration / J Gastroenterol Hepatol 11 : 51 ~ 58 | 7. [학술지(정기간행물)] - Kumamoto M / 2010 / Long-term results of balloon-occluded retrograde transvenous obliteration for gastric fundal varices: hepatic deterioration links to portosystemic shunt syndrome / J Gastroenterol Hepatol 25 : 1129 ~ 1135 | 8. [학술지(정기간행물)] - Akahoshi T / 2008 / Long-term results of balloon-occluded retrograde transvenous obliteration for gastric variceal bleeding and risky gastric varices: a 10-year experience / J Gastroenterol Hepatol 23 : 1702 ~ 1709 | 9. [학술지(정기간행물)] - Hiraga N / 2007 / The long-term outcome of patients with bleeding gastric varices after balloon-occluded retrograde transvenous obliteration / J Gastroenterol 42 : 663 ~ 672 | 10. [학술지(정기간행물)] - Ninoi T / 2005 / Balloon-occluded retrograde transvenous obliteration of gastric varices with gastrorenal shunt: long-term follow-up in 78 patients / AJR Am J Roentgenol 184 : 1340 ~ 1346 | 11. [학술지(정기간행물)] - Miyamoto Y / 2003 / Balloonoccluded retrograde transvenous obliteration improves liver function in patients with cirrhosis and portal hypertension / J Gastroenterol Hepatol 18 : 934 ~ 942 | 12. [학술지(정기간행물)] - Fukuda T / 2001 / Long-term results of balloonoccluded retrograde transvenous obliteration for the treatment of gastric varices and hepatic encephalopathy / J Vasc Interv Radiol 12 : 327 ~ 336 | 13. [학술지(정기간행물)] - Kawanaka H / 1995 / Portosystemic encephalopathy treated with balloon-occluded retrograde transvenous obliteration / Am J Gastroenterol 90 : 508 ~ 510 | 14. [학술지(정기간행물)] - Cho SK / 2007 / Balloonoccluded retrograde transvenous obliteration of gastric varices: outcomes and complications in 49 patients / AJR Am J Roentgenol 189 : W365 ~ W372 | 15. [학술지(정기간행물)] - YoungHoChoi / 2003 / Balloon-Occluded Retrograde Transvenous Obliteration for Gastric Variceal Bleeding:Its Feasibility Compared with Transjugular Intrahepatic Portosystemic Shunt / Korean Journal of Radiology 4 (2) : 6 ~ 116 | 16. [학술지(정기간행물)] - Choi YS / 2008 / Effect of balloon-occluded retrograde transvenous obliteration on the natural history of coexisting esophageal varices / J Clin Gastroenterol 42 : 974 ~ 979 | 17. [학술지(정기간행물)] - Park SJ / 2010 / The Prevalence, Risk Factors, and Clinical Outcome of Balloon Rupture in Balloon-occluded Retrograde Transvenous Obliteration of Gastric Varices / JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY 21 (4) : 503 ~ 507 | 18. [학술지(정기간행물)] - Sarin SK / 1989 / Gastric varices: profile, classification, and management / Am J Gastroenterol 84 : 1244 ~ 1249 | 19. [학술지(정기간행물)] - Hashizume M / 1990 / Endoscopic classification of gastric varices / Gastrointest Endosc 36 : 276 ~ 280 | 20. [학술지(정기간행물)] - Zoli M / 1996 / Evaluation of a new endoscopic index to predict first bleeding from the upper gastrointestinal tract in patients with cirrhosis / Hepatology 24 : 1047 ~ 1052 | 21. [학술지(정기간행물)] - Garcia-Tsao G / 2007 / Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis / Hepatology 46 : 922 ~ 938 | 22. [학술지(정기간행물)] - de Franchis R / 2010 / Revising consensus in portal hypertension: report of the Baveno V consensus workshop on methodology of diagnosis and therapy in portal hypertension / J Hepatol 53 : 762 ~ 768 | 23. [학술지(정기간행물)] - Suk KT / 2012 / Revision and update on clinical practice guideline for liver cirrhosis. / The Korean journal of hepatology 18 (1) : 1 ~ 21 | 24. [학술지(정기간행물)] - Akahane T / 1997 / Changes in liver function parameters after occlusion of gastrorenal shunts with balloon-occluded retrograde transvenous obliteration / Am J Gastroenterol 92 : 1026 ~ 1030 | 25. [학술지(정기간행물)] - Uehara H / 2012 / Prediction of improved liver function after balloon-occluded retrograde transvenous obliteration: relation to hepatic vein pressure gradient / J Gastroenterol Hepatol 27 : 137 ~ 141 | 26. [학술지(정기간행물)] - Kato T / 2001 / Therapeutic effect of balloon-occluded retrograde transvenous obliteration on portal-systemic encephalopathy in patients with liver cirrhosis / Intern Med 40 : 688 ~ 691 google schola

이 논문의 저자 정보

최근 본 자료

전체보기

댓글(0)

0