{"created":"2023-05-15T11:22:03.313926+00:00","id":711,"links":{},"metadata":{"_buckets":{"deposit":"6997cca4-1099-483a-b055-8e9abf8b4abc"},"_deposit":{"created_by":1,"id":"711","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"711"},"status":"published"},"_oai":{"id":"oai:showa.repo.nii.ac.jp:00000711","sets":["1:51:89:91"]},"author_link":["4092","4087","4093","4088","4090","4091","4086","4089"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-06"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"99","bibliographicPageStart":"89","bibliographicVolumeNumber":"23","bibliographic_titles":[{"bibliographic_title":"The Showa University journal of medical sciences"}]}]},"item_10002_description_6":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"We evaluated clinical outcomes and prognostic factors associated with survival after balloon-occluded retrograde transvenous obliteration (B-RTO) of gastric varices in patients with portal hypertension. Of 50 patients with gastric varices who underwent B-RTO, 46 (94.0%) patients in whom B-RTO was technically successful were reviewed retrospectively. Gastric and esophageal varices after B-RTO were evaluated by contrast-enhanced computer tomography and endoscopy, respectively. Liver function parameters and Child-Pugh scores were estimated before and at 1 year after B-RTO. The cumulative survival rate was calculated, and univariate and multivariate analyses were used to assess the prognostic factors. No major complications occurred in any of the patients following B-RTO and no recurrence or bleeding of gastric varices was noted. Of the 42 patients who were followed up for the progression of esophageal varices, 13 (31.0%) had worsened varices and of these, 6 (14.3%) showed bleeding. Prothrombin activity had significantly improved at 1 year after B-RTO, although there were no changes in other liver function parameters. The overall cumulative survival rates at 1, 3, and 5 years after B-RTO were 91.6%, 70.9%, and 53.6%, respectively. Multivariate analysis identified the occurrence of advanced hepatocellular carcinoma (HCC) during the observation period as a prognostic factor for survival (hazard ratio = 4.1497, 95% CI = 1.32314-13.0319, P = 0.0148). B-RTO of gastric varices is an effective treatment ensuring lower recurrence and bleeding rates; however, these patients require careful observation for progression of esophageal varices. The management of HCC is crucial for achieving long-term survival after B-RTO.","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Showa Medical Association and Showa University"}]},"item_10002_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.15369/sujms.23.89"}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0915-6380"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"UOZUMI, Shojiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"BABA, Toshiyuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SAI, Syouei"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SEINO, Noritaka"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HASHIMOTO, Toshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HONDA, Minoru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"GOKAN, Takehiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"IMAWARI, Michio"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-07-26"}],"displaytype":"detail","filename":"S23_89.pdf","filesize":[{"value":"213.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"S23_89.pdf","url":"https://showa.repo.nii.ac.jp/record/711/files/S23_89.pdf"},"version_id":"bf45fad7-3a29-4c5b-b07a-9c1183dc8450"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper"}]},"item_title":"Clinical Outcomes and Prognostic Factors Associated with Survival after Balloon-occluded Retrograde Transvenous Obliteration of Gastric Varices","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Clinical Outcomes and Prognostic Factors Associated with Survival after Balloon-occluded Retrograde Transvenous Obliteration of Gastric Varices"}]},"item_type_id":"10002","owner":"1","path":["91"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-12-17"},"publish_date":"2016-12-17","publish_status":"0","recid":"711","relation_version_is_last":true,"title":["Clinical Outcomes and Prognostic Factors Associated with Survival after Balloon-occluded Retrograde Transvenous Obliteration of Gastric Varices"],"weko_creator_id":"1","weko_shared_id":1},"updated":"2023-05-15T12:37:40.736396+00:00"}