{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:15:06Z","timestamp":1790374506317,"version":"4.1.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T00:00:00Z","timestamp":1740700800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Retrograde transvenous obliteration (RTO) is an established technique for managing fundal varices. Endoscopic ultrasound (EUS)-guided glue injection with or without coil is an alternate approach. The present study compared outcomes of EUS-guided therapies with RTO for managing fundal varices.<\/jats:p><jats:p>We retrospectively analyzed data from patients with fundal varices undergoing EUS-guided intervention or RTO at 10 tertiary centers in India and compared after propensity score matching. The primary outcome was variceal bleeding within 1 year. Secondary outcomes included procedure-related adverse events (AEs), variceal obliteration, reintervention, and mortality.<\/jats:p><jats:p>A total of 167 patients (EUS 108, RTO 59) were included, with 59 in each group after\n        propensity score matching. Incidence of variceal bleeding (15.3% vs. 13.6%, P =\n        0.793) within 1 year was comparable between the groups. Procedure-related AEs were higher in\n        the RTO group (22% vs. 5.1%, P = 0.007), primarily new onset or worsening of ascites.\n        Variceal obliteration at 4 weeks was similar between groups (83.1% vs. 91.5%, P = 0.167). Although reintervention within 1 year of the index\n        procedure (30.5% vs. 22.0%, P = 0.296) was comparable, the EUS group required more\n        frequent reintervention for GVs (28.8% vs. 5.1%, P = 0.001), and the RTO group\n        required more frequent reintervention for EVs (16.9% vs. 1.7%, P = 0.008).<\/jats:p><jats:p>EUS-guided therapy offers a safe and effective alternative to RTO for managing fundal varices. Although reintervention rate for GVs were higher than for EUS, incidence of AEs and reintervention for EVs was higher with RTO.<\/jats:p>","DOI":"10.1055\/a-2549-1165","type":"journal-article","created":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:11:12Z","timestamp":1740787872000},"source":"Crossref","is-referenced-by-count":8,"special_numbering":"S","title":["Endoscopic ultrasound-guided therapies versus retrograde transvenous obliteration for gastric varices: Multicenter propensity matched analysis"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9626-5243","authenticated-orcid":false,"given":"Suprabhat","family":"Giri","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjan Kumar","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Radiodiagnosis, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5363-597X","authenticated-orcid":false,"given":"Radhika","family":"Chavan","sequence":"additional","affiliation":[{"name":"Gastroenterology, Ansh Clinic, Ahmedabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4789-1766","authenticated-orcid":false,"given":"Bhavik Bharat","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shree Narayana Hospital, Raipur, India"},{"name":"Department of Gastroenterology, MediGenix Hospital, Raipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jimmy","family":"Narayan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, SOA IMS and SUM Hospital, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taraprasad","family":"Tripathy","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushant","family":"Babbar","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Dayanand Medical College and Hospital, Ludhiana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lalit","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Santokba Durlabhji Memorial Hospital, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rozil","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Sushrut Hospital, Ahmedabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karan Manoj","family":"Anandpara","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Heart & Vascular Superspecialty Hospitals, India, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Radiology, Kalinga Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manjit","family":"Kanungo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, SOA IMS and SUM Hospital, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girish Kumar","family":"Pati","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, SOA IMS and SUM Hospital, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemanta K","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9540-3686","authenticated-orcid":false,"given":"Manas Kumar","family":"Panigrahi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preetam","family":"Nath","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saroj Kanta","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dibya Lochan","family":"Praharaj","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bipadabhanjan","family":"Mallick","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarat Chandra","family":"Panigrahi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Rajput","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ansh Clinic, Ahmedabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jimil","family":"Shah","sequence":"additional","affiliation":[{"name":"Gastroenterology, PGIMER, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil Chandra","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj Kumar","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,4,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"335","DOI":"10.3390\/medicina55070335","article-title":"Current approaches to the treatment of gastric varices: Glue, coil 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