{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T18:34:58Z","timestamp":1775327698213,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,2,1]],"date-time":"2016-02-01T00:00:00Z","timestamp":1454284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,2,1]],"date-time":"2016-02-01T00:00:00Z","timestamp":1454284800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["UEG Journal"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>We previously reported the techniques and usefulness of simultaneous combined balloon\u2010occluded retrograde transvenous obliteration (B\u2010RTO) and partial splenic embolization (PSE), based on the hypothesis that concomitant PSE can diminish the increase in portal venous pressure after B\u2010RTO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>After experiencing more cases and performing longer\u2010term follow\u2010up, we re\u2010evaluated the efficacy of simultaneous combined B\u2010RTO and PSE for gastric fundal varices (GVs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed B\u2010RTO in 36 consecutive patients treated for GVs from 2005 to 2013. Twenty\u2010three patients underwent simultaneous combined B\u2010RTO and PSE (Group 1) and 13 underwent B\u2010RTO monotherapy (Group 2). The outcomes were retrospectively evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in baseline characteristics between the two groups except that the splenic volumes were larger in Group 1 than 2. B\u2010RTO was technically successful in 21 of 23 patients (91.3%) in Group 1 and in 12 of 13 patients (92.3%) in Group 2. In all patients with ruptured GVs (six in Group 1 and five in Group 2), complete hemostasis was obtained by B\u2010RTO. Exacerbation of esophageal varices was significantly less frequent in Group 1 than 2 (<jats:italic>p<\/jats:italic> \u2009=\u20090.0017).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Concomitant PSE with B\u2010RTO may contribute to prevention of the exacerbation of esophageal varices after B\u2010RTO.<\/jats:p><\/jats:sec>","DOI":"10.1177\/2050640615581966","type":"journal-article","created":{"date-parts":[[2015,4,10]],"date-time":"2015-04-10T02:01:57Z","timestamp":1428631317000},"page":"62-69","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Simultaneous combined balloon\u2010occluded retrograde transvenous obliteration and partial splenic embolization for gastric fundal varices"],"prefix":"10.1002","volume":"4","author":[{"given":"Nobuo","family":"Waguri","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology Niigata City General Hospital 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