Background and Aim. Upper gastrointestinal bleeding is a threat to patients with gastric varices (GVs). Previous studies have\nconcluded that both transjugular intrahepatic portosystemic shunt (TIPS) and balloon-occluded retrograde transvenous\nobliteration (BRTO) are effective treatments for patients with GV. We aimed to compare the efficiency and outcomes of these two\nprocedures in GV patients through meta-analysis. Methods. The PubMed, Cochrane Library, EMBASE, and Web of Science\ndatabases were searched using the keywords: GV, bleeding, TIPS, and BRTO to identify relevant randomized controlled trials and\ncohort studies. The overall survival (OS) rate, imminent haemostasis rate, rebleeding rate, technical success rate, procedure\ncomplication rate (hepatic encephalopathy and aggravated ascites), and Child-Pugh score were evaluated. Randomized clinical\ntrials and cohort studies comparing TIPS and BRTO for GV due to portal hypertension were included in our meta-analysis. Two\nindependent reviewers performed data extraction and assessed the study quality. A meta-analysis was performed to calculate risk\nratios (RRs), mean differences (MDs), and 95% CIs using random effects models. Results. A total of nine studies fulfilled the\ninclusion criteria. There was a significant difference between TIPS and BRTO in the OS rate (RR, 0.81 (95% CI, 0.66 to 0.98);...................
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