Article Text
Letter
Balloon occluded retrograde transvenous obliteration: a feasible alternative to transjugular intrahepatic portosystemic stent shunt
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We read with interest the article by Tripathi et al (Gut 2002;51:270–4) on the therapeutic effect of transjugular intrahepatic portosystemic stent shunt (TIPSS) on gastric variceal bleeding. They concluded that TIPSS could only improve mortality in patients with bleeding at a portal pressure gradient (PPG) >12 mm Hg. When treating gastric varices, we should pay attention to the fact that the behaviour of these varices varies according to their location. Isolated fundal varices (FV) are confined to the fundus only (or the cardia and fundus), and are not associated with oesophageal varices. Chikamori and colleagues1 …