['The purpose of our study was to evaluate the efficacy of balloon-occluded retrograde transvenous obliteration (B-RTO) in patients after living donor liver transplantation (LDLT).', 'Five patients with gastric varices (GVx) and/or liver dysfunction who were treated with B-RTO from January 2001 to December 2007 were enrolled in this study (GVx, n\xa0=\xa02; liver dysfunction, n\xa0=\xa01; both, n\xa0=\xa02). The eradication rate of the GVx, portal vein hemodynamics and improvement of liver function were evaluated.', 'B-RTO was performed successfully, and the GVx disappeared or decreased markedly in all patients. Recurrence of GVx was not observed during the follow-up. Significantly increased portal vein inflow and improved liver function were observed in all patients.'] Is balloon-occluded retrograde transvenous obliteration feasible for prolonged portosystemic shunts after living donor liver transplantation?