{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:20:49Z","timestamp":1790144449231,"version":"4.0.1"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,7,28]],"date-time":"2017-07-28T00:00:00Z","timestamp":1501200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008903","name":"Ministry of Health and Welfare","doi-asserted-by":"publisher","award":["HI10C2020"],"award-info":[{"award-number":["HI10C2020"]}],"id":[{"id":"10.13039\/100008903","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["2016R1A1A1A05005138"],"award-info":[{"award-number":["2016R1A1A1A05005138"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Both balloon\u2010occluded retrograde transvenous obliteration (BRTO) and transjugular intrahepatic portosystemic shunt (TIPS) are considered effective treatments for gastric variceal bleeding (GVB). In this study, outcomes of these two procedures were compared in managing patients with GVB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 142 patients undergoing BRTO (<jats:italic>n<\/jats:italic>\u00a0=\u00a095) or TIPS (<jats:italic>n<\/jats:italic>\u00a0=\u00a047) between 2005 and 2012 at two tertiary centers were selected for retrospective review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean patient age (male, 115; female, 27) was 58.1\u00a0years. Alcoholic liver cirrhosis was the most common underlying cause (<jats:italic>n<\/jats:italic>\u00a0=\u00a063, 44.4%), followed by hepatitis B (<jats:italic>n<\/jats:italic>\u00a0=\u00a060, 42.3%) and hepatitis C (<jats:italic>n<\/jats:italic>\u00a0=\u00a07, 4.9%) viral infections. Concurrent hepatocellular carcinoma (HCC) was identified in 64 (45.1%) patients. During the follow\u2010up period (mean, 28.2\u00a0months), 27 patients (19%) experienced re\u2010bleeding. Cumulative re\u2010bleeding rates after BRTO (8.6% at 1\u00a0year; 22.7% at 3\u00a0years) were significantly lower than those after TIPS (19.8% at 1\u00a0year; 48.2% at 3\u00a0years; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.006, log\u2010rank test). In multivariate analysis, TIPS (<jats:italic>vs<\/jats:italic> BRTO) was found independently predictive of re\u2010bleeding (hazard ratio [HR]\u00a0=\u00a02.174; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.048), in addition to concurrent HCC and poor baseline Child\u2013Pugh score (both <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05). Although BRTO surpassed TIPS (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.026, log\u2010rank test) in terms of overall postprocedural survival, independent factors predictive of poor overall survival after hemostasis were concurrent HCC (HR\u00a0=\u00a03.106), high Child\u2013Pugh score (HR\u00a0=\u00a01.886 per 1\u2010point increase), and postprocedural hepatic encephalopathy (HR\u00a0=\u00a03.014; all <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Balloon\u2010occluded retrograde transvenous obliteration proved more effective than TIPS in hemostasis of GVB, associated with significantly less risk of re\u2010bleeding.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.13729","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T21:54:03Z","timestamp":1484344443000},"page":"1487-1494","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Comparison of treatment outcomes between balloon\u2010occluded retrograde transvenous obliteration and transjugular intrahepatic portosystemic shunt for gastric variceal bleeding hemostasis"],"prefix":"10.1111","volume":"32","author":[{"given":"Shin Jae","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Radiology, CHA Bundang Medical Center CHA University  Seongnam\u2010si Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9658-8050","authenticated-orcid":false,"given":"Seung Up","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Man\u2010Deuk","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Research Institute of Radiological Science Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Hwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Dongsan Medical Center Keimyung University College of Medicine  Daegu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyoung Min","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Research Institute of Radiological Science Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Il","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Radiology, Research Institute of 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