Learn about Balloon-occluded Retrograde Transvenous Obliteration Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Balloon-occluded Retrograde Transvenous Obliteration and request assistance for cost estimates or appointments.

About Balloon-occluded Retrograde Transvenous Obliteration

Balloon-occluded Retrograde Transvenous Obliteration (BRTO) is a minimally invasive, image-guided procedure performed by a Surgical Gastroenterologist to treat gastric varices, which are enlarged, fragile veins in the stomach wall that can cause life-threatening bleeding. This specialized technique involves accessing the vascular system through a vein in the groin or neck. A catheter is then navigated to the specific vein feeding the varices. A balloon is inflated to temporarily block blood flow, and a sclerosing agent is injected to clot and permanently seal off the abnormal veins, effectively preventing rupture and bleeding. BRTO is a crucial alternative for patients who are not candidates for traditional transjugular intrahepatic portosystemic shunt (TIPS) procedures, offering a targeted solution for a high-risk condition.

Key Highlights

    Minimally invasive procedure with no large surgical incisions.Highly effective in controlling and preventing bleeding from gastric varices.Preserves liver function by avoiding diversion of blood flow away from the liver.Can be a life-saving alternative for patients unsuitable for TIPS (Transjugular Intrahepatic Portosystemic Shunt).Typically involves a shorter hospital stay compared to open surgery.Performed under image guidance for precision and safety./ul

Who is this surgery for?

  • Active or recent bleeding from isolated gastric varices (IGV1).
  • Prevention of re-bleeding in patients with a history of gastric variceal hemorrhage.
  • Gastric varices with a high risk of bleeding, identified on endoscopic ultrasound.
  • Patients with portal hypertension and gastric varices who are not candidates for TIPS or endoscopic therapy.
  • Symptomatic gastric varices causing issues like anemia or discomfort.
  • Patients with liver cirrhosis and associated splenorenal or gastrorenal shunts.

How to prepare

  • Comprehensive evaluation including blood tests, imaging (CT or MRI), and endoscopy to map the varices.
  • Review and adjustment of current medications, especially blood thinners, as directed by the doctor.
  • Fasting for 6-8 hours before the procedure.
  • Informed consent process detailing the procedure, benefits, and risks.
  • Intravenous (IV) line placement for fluids and sedation.
  • Discussion of anesthesia; the procedure is usually done under conscious sedation or general anesthesia.

Risks & possible complications

  • Bleeding or hematoma at the catheter insertion site.
  • Infection.
  • Allergic reaction to the contrast dye or sclerosing agent.
  • Damage to blood vessels.
  • Pulmonary embolism or systemic migration of the clotting agent.
  • Worsening of esophageal varices or portal hypertension in some cases.
  • Kidney injury from contrast dye (contrast-induced nephropathy).
  • Recurrence of varices requiring further treatment.

Recovery & hospital stay

  • Initial monitoring in a recovery area for several hours to check vital signs and the puncture site.
  • Bed rest for a few hours to prevent bleeding from the access site.
  • Pain at the access site is common and managed with medication.
  • Clear liquids initially, advancing to a regular diet as tolerated.
  • Avoidance of strenuous activity and heavy lifting for 1-2 weeks.
  • Follow-up imaging and endoscopy appointments to monitor the success of the obliteration.
  • Continued management of underlying liver disease (e.g., cirrhosis) as per gastroenterologist's plan.
  • checked Typical hospital stay: 2-4 days
  • checked Expected recovery time: 1-2 weeks for routine activities; 4-6 weeks for full recovery

Frequently Asked Questions

If you are considering balloon-occluded retrograde transvenous obliteration in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for balloon-occluded retrograde transvenous obliteration compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
Turkey USD 11,423 – USD 26,653 2-4 days ~ 1-2 weeks for routine activities; 4-6 weeks for full recovery Know More
India USD 1,573 – USD 3,671 2-4 days ~ 1-2 weeks for routine activities; 4-6 weeks for full recovery Know More

Top hospitals for Balloon-occluded Retrograde Transvenous Obliteration in India

These partner hospitals in India have dedicated surgical gastroenterology teams and experience managing patients undergoing balloon-occluded retrograde transvenous obliteration.

Miot Hospital

  • IconChennai, India
  • Icon250 Doctors

Gem Hospital

  • IconRamanathapuram, India
  • Icon20 Doctors

SPARSH Hospital, Hennur Road

  • IconBangalore, India
  • Icon37 Doctors
PATIENT REVIEW

The recovery process was smooth thanks...

The recovery process was smooth thanks to Dr. ashok selvaraj's expertise. Highly recommend for orthopedics treatment.

Surgical Gastroenterologists for Balloon-occluded Retrograde Transvenous Obliteration

Explore experienced surgical gastroenterologists who regularly perform balloon-occluded retrograde transvenous obliteration and provide pre- and post-operative care in India.

Dr. Sathish Kumar - Surgical Gastroenterologist at Manipal Hospital Jayanagar with 14 years experience
  • 14 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi

MediFyr Plus Manipal Hospital Jayanagar

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Dr. Kasthuri T S - Surgical Gastroenterologist at Manipal Hospital Jayanagar with 13 years experience
  • 13 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi

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Dr. Vivekanandan Shanmugam - Surgical Gastroenterologist at SIMS Hospital Vadapalani with 29 years experience
  • 29 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi, Tamil

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Dr. Dinesh Ramaswamy - Surgical Gastroenterologist at SIMS Hospital Vadapalani with 20 years experience
  • 20 Years Experience
  • Surgical Gastroenterologist
Speaks: English

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Dr. Govind Nandakumar - Surgical Gastroenterologist at Manipal Hospital Varthur Road with 15 years experience
  • 15 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi, Kannada, Tamil

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Dr. Sasi Kanth Uddagiri - Surgical Gastroenterologist at Kamineni Hospital Vijayawada with 23 years experience
  • 23 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi

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Dr. C. Mansoor Ahmed - Surgical Gastroenterologist at Kamineni Hospital King Koti with 5 years experience
  • 5 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi

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Dr. Magnus Jayaraj Mansard - Liver Transplant Specialist at Gem Hospital Perungudi with 27 years experience
  • 27 Years Experience
  • Liver Transplant Specialist
Speaks: Tamil, English

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Dr. S Asokan - Surgical Gastroenterologist at Gem Hospital Perungudi with 26 years experience
  • 26 Years Experience
  • Surgical Gastroenterologist
Speaks: Tamil, English

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Dr. G Ajay Pai - Surgical Gastroenterologist at Gem Hospital Perungudi with 14 years experience
  • 14 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi

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