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TIPS Versus Transcatheter Sclerotherapy for Gastric Varices

¹ Department of Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan.
² Department of Radiology, Faculty of Medicine, Tottori University, Tottori, Japan.
³ Department of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.

View larger version (44K): [in a new window]   Fig. 1A. —Illustrations of transcatheter sclerotherapy. Drawings illustrate balloon-occluded retrograde transvenous obliteration (A) and percutaneous transhepatic sclerotherapy (B). EOI = ethanolamine oleate with iopamidol.

View larger version (39K): [in a new window]   Fig. 1B. —Illustrations of transcatheter sclerotherapy. Drawings illustrate balloon-occluded retrograde transvenous obliteration (A) and percutaneous transhepatic sclerotherapy (B). EOI = ethanolamine oleate with iopamidol.

View larger version (10K): [in a new window]   Fig. 2A. —Comparison of transjugular intrahepatic portosystemic shunt (TIPS, dotted lines) and transcatheter sclerotherapy (TS, solid lines) groups for cumulative bleeding using Kaplan-Meier method and log-rank test. Table beneath figure shows number of patients at risk in each group. Columns correspond to number of years on graph. Graphs and tables show results for gastric (p = 0.0003, A), esophageal (p = 0.5956, B) and all p = 0.0015, C) variceal bleeding.

View larger version (10K): [in a new window]   Fig. 2B. —Comparison of transjugular intrahepatic portosystemic shunt (TIPS, dotted lines) and transcatheter sclerotherapy (TS, solid lines) groups for cumulative bleeding using Kaplan-Meier method and log-rank test. Table beneath figure shows number of patients at risk in each group. Columns correspond to number of years on graph. Graphs and tables show results for gastric (p = 0.0003, A), esophageal (p = 0.5956, B) and all p = 0.0015, C) variceal bleeding.

View larger version (11K): [in a new window]   Fig. 2C. —Comparison of transjugular intrahepatic portosystemic shunt (TIPS, dotted lines) and transcatheter sclerotherapy (TS, solid lines) groups for cumulative bleeding using Kaplan-Meier method and log-rank test. Table beneath figure shows number of patients at risk in each group. Columns correspond to number of years on graph. Graphs and tables show results for gastric (p = 0.0003, A), esophageal (p = 0.5956, B) and all p = 0.0015, C) variceal bleeding.

View larger version (11K): [in a new window]   Fig. 3A. —Comparison of transjugular intrahepatic portosystemic shunt (TIPS, dotted lines) and transcatheter sclerotherapy (TS, solid lines) groups for cumulative survival using Kaplan-Meier method and log rank test. Table beneath figure shows number of patients at risk in each group. Columns correspond to number of years on graph. Graphs and tables show cumulative survival results overall (p = 0.0048, A), for Child-Pugh class A (p = 0.0033, B), and for Child-Pugh classes B and C (p = 0.4277, C).

View larger version (10K): [in a new window]   Fig. 3B. —Comparison of transjugular intrahepatic portosystemic shunt (TIPS, dotted lines) and transcatheter sclerotherapy (TS, solid lines) groups for cumulative survival using Kaplan-Meier method and log rank test. Table beneath figure shows number of patients at risk in each group. Columns correspond to number of years on graph. Graphs and tables show cumulative survival results overall (p = 0.0048, A), for Child-Pugh class A (p = 0.0033, B), and for Child-Pugh classes B and C (p = 0.4277, C).

View larger version (11K): [in a new window]   Fig. 3C. —Comparison of transjugular intrahepatic portosystemic shunt (TIPS, dotted lines) and transcatheter sclerotherapy (TS, solid lines) groups for cumulative survival using Kaplan-Meier method and log rank test. Table beneath figure shows number of patients at risk in each group. Columns correspond to number of years on graph. Graphs and tables show cumulative survival results overall (p = 0.0048, A), for Child-Pugh class A (p = 0.0033, B), and for Child-Pugh classes B and C (p = 0.4277, C).

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