×
Please select City And Area.
Best Doctor List Near You for Balloon-occluded Retrograde Transvenous Obliteration in Shingkhar gewog
Best psoriasis doctors near me
Balloon-occluded retrograde transvenous obliteration (BORTO) is an advanced endovascular technique primarily used for managing complications associated with portal hypertension, particularly the treatment of variceal bleeding and hepatic encephalopathy. This method involves placing a catheter into a large vein, often the femoral or internal jugular vein, and advancing it towards the hepatic venous system. Once the catheter reaches the target vein, a balloon is inflated to occlude the flow of blood in the superior mesenteric vein or the main portal vein. This temporary occlusion allows for the retrograde flow of contrast dye into the portal system, helping to map out the varices, which are swollen veins typically found in the esophagus or stomach due to increased pressure from the portal vein. With the aid of imaging techniques such as fluoroscopy, the physician can accurately visualize the vascular structures and identify the problematic varices. Following this step, sclerotherapy agents, which are substances that lead to the hardening and sealing of these varices, are injected directly into them through the catheter. The use of the balloon both facilitates and enhances the delivery of the sclerosing agent, maximizing treatment efficacy by ensuring that the agent is concentrated at the site of bleeding or at risk of bleeding. One of the main advantages of BORTO is its minimally invasive nature compared to surgical techniques, offering a lower complication rate and a faster recovery time. Moreover, this procedure can be performed in patients who might not be candidates for a surgical approach, such as those with significant comorbidities or advanced liver disease. The efficacy of BORTO in controlling variceal hemorrhage and mitigating the consequent risks associated with portal hypertension is well-documented, making it a valuable option in selective patient populations. Post-operatively, patients are monitored for potential complications, which can include transient hepatic encephalopathy or complications related to the catheter insertion site. The efficacy of the procedure is often assessed through follow-up endoscopy or imaging to ensure that bleeding risk has been effectively mitigated. BORTO not only provides immediate therapeutic benefits but also contributes to a longer-term management strategy for those with chronic liver conditions. Additionally, the multi-faceted nature of this procedure underscores the importance of a multidisciplinary approach involving interventional radiologists, hepatologists, and gastroenterologists, ensuring comprehensive care for patients with complex vascular and hepatic issues. Overall, balloon-occluded retrograde transvenous obliteration is a significant advance in the toolkit for managing portal hypertension and its complications, offering hope and improved quality of life for patients who may otherwise face grim outcomes due to variceal bleeding or liver dysfunction.
- Orthopedic Sports Medicine Specialist in Shingkhar gewog
- Endodontics in Shingkhar gewog
- Thoracic Surgeon in Shingkhar gewog
- Urologic Oncologist in Shingkhar gewog
- Telepsychiatry in Shingkhar gewog
- Cardiopulmonary Rehabilitation Specialist in Shingkhar gewog
- Pediatric Asthma And Allergy Specialist in Shingkhar gewog
- Regional Anesthesiology in Shingkhar gewog
- Emergency Radiologist in Shingkhar gewog
- Neuroendocrinologist in Shingkhar gewog
- Sexual Medicine Specialist in Shingkhar gewog
- Homeopathy in Shingkhar gewog
- Female Pelvic Medicine And Reconstructive Surgeon in Shingkhar gewog
- Spinal Surgeon in Shingkhar gewog
- Wound Care Specialist in Shingkhar gewog
- Cardiac Catheterization Specialist in Shingkhar gewog
- Neuroimmunologist in Shingkhar gewog
- Skin Cancer Specialist in Shingkhar gewog
- PET-CT Imaging Specialist in Shingkhar gewog
- Physical Medicine & Rehabilitation in Shingkhar gewog
- Chemotherapy Specialist in Shingkhar gewog
- Transanal Endoscopic Microsurgery in Shingkhar gewog
- Endoscopic Sleeve Gastroplasty in Shingkhar gewog
- Norwood Procedure in Shingkhar gewog
- Ankle Reconstruction in Shingkhar gewog
- Billroth II in Shingkhar gewog
- Scrotoplasty in Shingkhar gewog
- Interphalangeal Joint Dislocation Of The Fingers And Toes in Shingkhar gewog
- Positron Emission Tomography (PET) Scans in Shingkhar gewog
- Infectious Disease Pathology in Shingkhar gewog
- Patient Education and Lifestyle Coaching in Obesity in Shingkhar gewog
- Psychiatric Services in Shingkhar gewog
- Endodontic Services in Shingkhar gewog
- Pediatric Emergency Care in Shingkhar gewog
- Immunohistochemistry (IHC) Services in Shingkhar gewog
- Diabetes Management Services in Shingkhar gewog
- Postmenopausal Bone Care in Shingkhar gewog
- Wound Assessment and Diagnosis in Shingkhar gewog
- Pediatric Allergic Reactions and Anaphylaxis in Shingkhar gewog
- Prostate Health in Shingkhar gewog
- Genetic Counseling and Testing in Shingkhar gewog
- Birth control counseling and management in Shingkhar gewog
- Supply Chain And Procurement Services (Healthcare) in Shingkhar gewog
- Pediatric Trauma care Services in Shingkhar gewog
- Suicide Prevention and Crisis Counseling in Shingkhar gewog
- Chronic Pain Management in Shingkhar gewog
- Pediatric Cardiac Emergencies in Shingkhar gewog
- Insomnia in Shingkhar gewog
- Biomedical Waste Management in Shingkhar gewog