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BRTO: Past, Present, and Future Directions.

Akira Yamamoto1, Atushi Jogo2, Ken Kageyama1

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Summary
This summary is machine-generated.

Balloon-occluded retrograde transvenous obliteration (BRTO) effectively treats gastric varices and improves liver function. This technique is also a promising treatment for portosystemic shunt syndrome, expanding its clinical applications.

Keywords:
BRTOgastric varicesmodified BRTOportosystemic shuntportosystemic shunt syndrome

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Area of Science:

  • Interventional Gastroenterology
  • Hepatology
  • Vascular Surgery

Background:

  • Gastric varices (GV) pose a significant clinical challenge.
  • Balloon-occluded retrograde transvenous obliteration (BRTO) originated in Japan for GV treatment.
  • BRTO's efficacy and applications are gaining global recognition.

Purpose of the Study:

  • To review the indications, methods, and modifications of BRTO.
  • To discuss the application and current status of BRTO for portosystemic shunt syndrome.

Main Methods:

  • Review of existing literature and clinical data on BRTO.
  • Analysis of BRTO's therapeutic outcomes for gastric varices.
  • Evaluation of BRTO's role in managing portosystemic shunt syndrome.

Main Results:

  • BRTO demonstrates high therapeutic efficacy for gastric varices.
  • BRTO procedures have been associated with improved liver function post-treatment.
  • BRTO is emerging as a viable treatment for portosystemic shunt syndrome.

Conclusions:

  • BRTO is a well-established and effective treatment for gastric varices.
  • BRTO offers potential benefits for liver function and portosystemic shunt syndrome.
  • Further research and wider adoption of BRTO are warranted globally.