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Choice of Therapy for Gastric Variceal Bleeding: Results from a Cohort Study in Japan

  • Naoya MurashimaEmail author
Chapter

Abstract

There are many therapies to treat bleeding gastric varices, but comparative studies for gastric variceal bleeding have not identified which therapy is superior to all others. The Japan Society for Portal Hypertension created a registry of bleeding gastric varices for over 5 years at 31 major institutions. A variety of therapies performed in Japan during these 5 years were compared and evaluated. For emergencies, cyanoacrylate with Lipiodol injection via endoscopy was significantly more effective than conservative therapies. Balloon-occluded retrograde transvenous obliteration (B-RTO) and surgery were also effective for preventing rebleeding.

Keywords

Gastric varices Cyanoacrylate Balloon-occluded retrograde transvenous obliteration (B-RTO) Multicenter retrospective cohort study 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of GastroenterologyMishuku HospitalTokyoJapan

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