Inclusion Criteria:  age≥18 years endoscopic examination confirmed the presence of gastric varices CTA of the portal system and EUS revealed the presence of spontaneous portosystemic shunt (SPSS) that the diameter was between 5 mm to 15 mm treatment with EUS-guided coil combined with endoscopic cyanoacrylate injection or BRTO  Exclusion Criteria:  malignant tumors hepatic encephalopathy, hepatorenal syndrome or multiple organ failure previously received esophagus or stomach surgery pregnant