Transcatheter Obliteration Of Gastric Varices Through The Spontaneous Spleno-renal Shunt(SSRS) Or Gastro-renal Shunt(SGRS): Clinical Research

Purpose: The study takes the lead in China in treating gastric varices of portal vein hypertention patients with transcatheter obliteration through the spontaneous spleno-renal shunt (SSRS) or gastro-renal shunt (SGRS), with concurrent attention to the evaluation of feasibility, indications, operational techniques, clinical index of efficacy and success rate. Materials and methods: 28 cases of patients had the history of recurrent gastro-intestinal bleeding resulting from severe hepatocirrhosis, and had gastric varices confirmed by endoscopic examination. 5 cases isolated gastric varices and 23 cases gastric varices patients had been treated with endoscopic cirrhosis or ligation. Transcatheter obliteration through SSRS or SGRS had been operated on all the patients. Results: Technical success was obtained at the level of 87.5% for 31 operations in 28 cases. Hemostasis on the spot was successful in 9 cases of acute patients, with only 1 case failed. Follow-up visit demonstrated that re-bleeding rate was 14.3% within 1-15 months, and endoscopic examinations showed the fundicvarices disappearance or marked improvement of 87.5%. The mortality rate for acute patients in operation was zero. Conclusion : Satisfactory results have been found for transcatheter obliteration through SSRS or SGRS in treating gastric varices, and the method is also applicable to patients of hepatic-brain disease induced by SSRS after TIPSS operation, and can be jointly used with TIPSS. The study indicates that the technique provides a safer, easier, more efficient and cost-effective treatment for patients of portal vein hypertension induced by hepatocirrhosis.