SynthesisDigestive diseases and sciences2015
Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) for Treatment of Gastric Varices: Review and Meta-Analysis.
Synthesis in Digestive diseases and sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 59 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Efficacy and Safety of EUS-Guided Coil Embolization Combined With Endoscopic Cyanoacrylate Injection Versus Balloon-Occluded Retrograde Transvenous Obliteration for Gastric Varices With High-risk Ectopic Embolism
Balloon-occluded Retrograde Transvenous Obliteration Versus Endoscopic Tissue Glue Injection in the Prevention of Recurrent Gastric Variceal Bleeding
Who cites it
59 citing papers in PubMed, 1 synthesis or guideline pooled it, 140 citations in OpenAlex.
- KASL clinical practice guidelines for liver cirrhosis: Varices, hepatic encephalopathy, and related complications.Clinical and molecular hepatology · 2020Guideline
- Radiologic Interventions for Gastrointestinal Bleeding.The Korean journal of helicobacter and upper gastrointestinal research · 2026Review
- Balloon-occluded retrograde transvenous obliteration for duodenal varices: a retrospective observational study.The British journal of radiology · 2026Observational
- Safety and efficacy of low-cost, off-label balloons during balloon-occluded retrograde transvenous obliteration procedure.Journal of clinical imaging science · 2026Article
- Double-balloon (CANDIS) Retrograde Transvenous Obliteration Improves Hepatic Functional Reserve Compared with the Conventional Method.Interventional radiology (Higashimatsuyama-shi (Japan) · 2026Article
- BRTO: Past, Present, and Future Directions.Interventional radiology (Higashimatsuyama-shi (Japan) · 2026Review
- Variceal Upper Gastrointestinal Bleeding: A Retrospective Cohort of 98 Cases, Historical Comparison, and Updated Management Algorithm.Life (Basel, Switzerland) · 2025Article
- Case series: Occlusion using gelatin sponge in modified coil-assisted retrograde transvenous obliteration (Og-CARTO) for the treatment of portal hypertensive varices.Radiology case reports · 2025Article
- Article
- Spinal Hematoma as a Rare Complication of Balloon-occluded Retrograde Transvenous Obliteration for Gastric Varices: A Case Report.Interventional radiology (Higashimatsuyama-shi (Japan) · 2025Article
- Trans-splenic anterograde coil-assisted transvenous occlusion (TACATO) of bleeding gastric varices associated with gastrorenal shunts in cirrhosis.JHEP reports : innovation in hepatology · 2025Article
- BRTO for ectopic small intestinal varices bleeding via dilated superior mesenteric veins and left ovarian vein: A case report.Radiology case reports · 2025Article
- Management of Gastric Varices Using Retrograde Transvenous Obliteration Procedures.Gastroenterology & hepatology · 2024Article
- [Endoscopic Treatment and Prevention of Acute Variceal Hemorrhage].The Korean journal of helicobacter and upper gastrointestinal research · 2024Review
- Esophageal Varices as an Independent Predictor of Fatal Outcomes after Balloon-Occluded Retrograde Transvenous Obliteration in Patients with Hepatic Encephalopathy.Digestive diseases (Basel, Switzerland) · 2024Article
- Review
- A comprehensive review of transvenous obliteration techniques in the management of gastric varices.Diagnostic and interventional radiology (Ankara, Turkey) · 2023Review
- Management of Patients With Gastric Varices.Gastroenterology & hepatology · 2022Article
- Embolization of parastomal and small bowel ectopic varices utilizing a transhepatic antegrade approach: A case series.Acta radiologica open · 2022Article
- The role of transjugular intrahepatic portosystemic shunt in patients with portal hypertension: Advantages and pitfalls.Clinical and molecular hepatology · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo perform a systematic review and meta-analysis of the effectiveness and complications of BRTO for gastric varices. MATERIALS AND
methodsA systematic review was performed to identify relevant articles. Inclusion criteria were applied to select studies with at least ten patients with acute bleeding or at-risk gastric varices treated with BRTO. Meta-analysis with random effects model was performed to calculate data for immediate technical success, clinical success, and complications.
resultsA total of 1,016 Patients from 24 studies met inclusion criteria. Technical success rate for BRTO was 96.4 % (95 % CI 93.7, 98.3 %; Q = 3,269.26, p < 0.01, I (2) = 99.39 %). Clinical success (defined as no recurrence or rebleed of gastric varices, or complete obliteration of varices on subsequent imaging) rate was 97.3 % (95 % CI 95.2, 98.8 %; Q = 3,105.91, p < 0.01, I (2) = 99.29 %). Major complication rate was 2.6 % (95 % CI 1.1, 4.6 %; Q = 3,348.98, p < 0.01, I (2) = 99.34 %). Esophageal variceal recurrence rate was 33.3 % (95 % CI 24.6, 42.6 %; Q = 7,291.75, p < 0.01, I (2) = 99.74 %).
conclusionBRTO is safe and efficacious for gastric varices, and current best evidence suggests that BRTO could be considered as therapy for patients with gastric varices.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.