{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:26:19Z","timestamp":1761845179441},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"17","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"funder":[{"name":"Key R &amp; D plan of science and Technology Department of Hainan Province","award":["ZDYF2017105"],"award-info":[{"award-number":["ZDYF2017105"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>Abstract<\/jats:title>\n            <jats:p>Successful treatment of esophagogastric varices (EGV) with giant portal-systemic shunt is challenging. To explore the feasibility and safety of a novel hybrid procedure involving interventional radiology and endoscopy in the same sitting.<\/jats:p>\n            <jats:p>Three cases clinically diagnosed to have decompensated cirrhosis and EGV with giant gastrorenal shunt (GRS) on contrast-enhanced computed tomography (CT) were included. The hybrid procedures included: indirect portography, hepatic vein pressure gradient (HVPG) measurement, HVPG-based partial splenic embolization (PSE), retrospective GRS balloon occlusion, endoscopic histoacryl injection (EHI), balloon catheter radiography and withdrawal. All the procedures were done in the same operation room. Main outcomes measurements included operation time, complications, and re-bleeding events.<\/jats:p>\n            <jats:p>Hybrid interventions were performed successfully in 3 cases with a mean operation time of 63.3\u200aminutes without any major intra- and post-operation complications. No rebleeding occurred at 6-month follow-up.<\/jats:p>\n            <jats:p>Synchronous hybrid intervention combining radiology and endoscopy is feasible and safe for patients with EGV and giant GRS, preliminary study with limited cases deserves further exploration.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/md.0000000000019727","type":"journal-article","created":{"date-parts":[[2020,4,25]],"date-time":"2020-04-25T05:52:36Z","timestamp":1587793956000},"page":"e19727","source":"Crossref","is-referenced-by-count":2,"title":["Synchronous hybrid procedure combining interventional radiology and endoscopy for esophagogastric varices with large gastro-renal shunt"],"prefix":"10.1097","volume":"99","author":[{"given":"Yiming","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Hainan Branch of Chinese PLA General Hospital, Sanya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shufang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Chinese People's Liberation Army General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Congyong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Chinese People's Liberation Army Navy General Hospital, Beijing, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liangliang","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Hainan Branch of Chinese PLA General Hospital, Sanya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Hainan Branch of Chinese PLA General Hospital, Sanya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Hainan Branch of Chinese PLA General Hospital, Sanya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Le","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Hainan Branch of Chinese PLA General Hospital, Sanya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siyang","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Hainan Branch of Chinese PLA General Hospital, Sanya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiangtao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Hainan Branch of Chinese PLA General Hospital, Sanya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gang","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Hainan Branch of Chinese PLA General Hospital, Sanya"},{"name":"Department of Gastroenterology and Hepatology, Chinese People's Liberation Army General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2020,4]]},"reference":[{"key":"R1-20230915","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1002\/hep.1840160607","article-title":"Prevalence, classification and natural history of gastric varices: a long-term follow-up study in 568 portal hypertension patients","volume":"16","author":"Sarin","year":"1992","journal-title":"Hepatology"},{"key":"R2-20230915","doi-asserted-by":"crossref","first-page":"1784","DOI":"10.1038\/ajg.2012.160","article-title":"Gastric varices: is there a role for endoscopic cyanoacrylates, or are we entering the BRTO era?","volume":"107","author":"Caldwell","year":"2012","journal-title":"Am J Gastroenterol"},{"key":"R3-20230915","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1002\/hep.510250209","article-title":"Risk factors for hemorrhage from gastric fundal varices","volume":"25","author":"Kim","year":"1997","journal-title":"Hepatology"},{"key":"R4-20230915","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1007\/s11894-014-0413-1","article-title":"Endoscopic management of bleeding gastric varices--an updated overview","volume":"16","author":"Crisan","year":"2014","journal-title":"Curr Gastroenterol Rep"},{"key":"R5-20230915","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1053\/j.gastro.2004.01.058","article-title":"A pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices","volume":"126","author":"Ryan","year":"2004","journal-title":"Gastroenterology"},{"key":"R6-20230915","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1159\/000050126","article-title":"Correlation between endoscopic and angiographic findings in patients with esophageal and isolated gastric varices","volume":"18","author":"Chikamori","year":"2001","journal-title":"Dig Surg"},{"key":"R7-20230915","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1055\/s-2007-1005714","article-title":"The value of combined use of N-butyl-2-cyanoacrylate and ethanolamine oleate in the management of bleeding esophagogastric varices","volume":"27","author":"Thakeb","year":"1995","journal-title":"Endoscopy"},{"key":"R8-20230915","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.jcma.2013.06.011","article-title":"Management of acute gastric varices bleeding","volume":"76","author":"Chang","year":"2013","journal-title":"J Chin Med Assoc"},{"key":"R9-20230915","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1002\/hep.28906","article-title":"Portal hypertensive bleeding in cirrhosis: Risk stratification, diagnosis, and management: 2016 practice guidance by the American Association for the study of liver diseases","volume":"65","author":"Garcia-Tsao","year":"2017","journal-title":"Hepatology"},{"key":"R10-20230915","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/j.gie.2016.12.026","article-title":"Randomized controlled trial of scleroligation versus band ligation alone for eradication of gastroesophageal varices","volume":"86","author":"Mansour","year":"2017","journal-title":"Gastrointest Endosc"},{"key":"R11-20230915","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/S0016-5107(86)71843-9","article-title":"Endoscopic injection sclerosis in bleeding gastric varices","volume":"32","author":"Trudeau","year":"1986","journal-title":"Gastrointest Endosc"},{"key":"R12-20230915","first-page":"320","article-title":"[Long-term results of endoscopic histoacryl (N-butyl-2-cyanoacrylate) injection for treatment of gastric varices--a 10-year experience]","volume":"49","author":"Joo","year":"2007","journal-title":"Korean J Gastroenterol"},{"key":"R13-20230915","first-page":"S89","article-title":"Pulmonary, cerebral and coronary emboli during bucrylate injection of bleeding fundic varices","volume":"30","author":"Roesch","year":"1998","journal-title":"Endoscopy"},{"key":"R14-20230915","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/j.1365-2036.2007.03351.x","article-title":"Enbucrilate for gastric varices: extended experience in 92 patients","volume":"26","author":"Caldwell","year":"2007","journal-title":"Aliment Pharmacol Ther"},{"key":"R15-20230915","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1111\/j.1440-1746.1996.tb00010.x","article-title":"Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration","volume":"11","author":"Kanagawa","year":"1996","journal-title":"J Gastroenterol Hepatol"},{"key":"R16-20230915","doi-asserted-by":"crossref","first-page":"1340","DOI":"10.2214\/ajr.184.4.01841340","article-title":"Balloon-occluded retrograde transvenous obliteration of gastric varices with gastrorenal shunt: long-term follow-up in 78 patients","volume":"184","author":"Ninoi","year":"2005","journal-title":"AJR Am J Roentgenol"},{"key":"-20230915","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1148\/rg.331125037","article-title":"Multidetector CT anatomy of drainage routes of gastric varices: a pictorial review","volume":"33","author":"Kiyosue","year":"2013","journal-title":"Radiographics"},{"key":"R17-20230915","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.jvir.2007.10.012","article-title":"Development of thrombus in the major systemic and portal veins after balloon-occluded retrograde transvenous obliteration for treating gastric variceal bleeding: its frequency and outcome evaluation with CT","volume":"19","author":"Cho","year":"2008","journal-title":"J Vasc Interv Radiol"},{"key":"R18-20230915","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.2169\/internalmedicine.56.7761","article-title":"Isolated gastric varices refractory to balloon-occluded retrograde transvenous obliteration (BRTO) successfully treated by Shunt-occluded Endoscopic Injection Sclerotherapy (SO-EIS): a case report and review of the literature","volume":"56","author":"Hatanaka","year":"2017","journal-title":"Intern Med"},{"key":"R19-20230915","doi-asserted-by":"crossref","first-page":"261","DOI":"10.2169\/internalmedicine.54.3465","article-title":"Efficacy of combined balloon-occluded retrograde transvenous obliteration and simultaneous endoscopic injection sclerotherapy","volume":"54","author":"Sato","year":"2015","journal-title":"Intern Med"},{"key":"R20-20230915","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1080\/13645706.2016.1192552","article-title":"BRTO assisted endoscopic Histoacryl injection in treating gastric varices with gastrorenal shunt","volume":"25","author":"Wu","year":"2016","journal-title":"Minim Invasive Ther Allied Technol"},{"key":"R21-20230915","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/S0016-5107(99)70459-1","article-title":"Treatment of gastric fundal varices by balloon endoscopic sclerotherapy","volume":"49","author":"Hamamoto","year":"1999","journal-title":"Gastrointest Endosc"},{"key":"R22-20230915","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.cld.2010.03.007","article-title":"Endoscopic therapy for gastric varices","volume":"14","author":"Sarin","year":"2010","journal-title":"Clin Liver Dis"}],"container-title":["Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/MD.0000000000019727","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T00:11:07Z","timestamp":1694823067000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/MD.0000000000019727"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4]]},"references-count":23,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/md.0000000000019727","relation":{},"ISSN":["0025-7974","1536-5964"],"issn-type":[{"value":"0025-7974","type":"print"},{"value":"1536-5964","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4]]}}}