TIPS - A NEW THERAPY FOR ESOPHAGEAL VARICEAL BLEEDING CAUSED BY EHBA

被引:15
作者
SCHWEIZER, P [1 ]
BRAMBS, HJ [1 ]
SCHWEIZER, M [1 ]
ASTFALK, W [1 ]
机构
[1] UNIV TUBINGEN,DEPT RADIOL,D-72076 TUBINGEN,GERMANY
关键词
PORTAL HYPERTENSION; ESOPHAGEAL VARICEAL BLEEDING; EHBA; TIPS;
D O I
10.1055/s-2008-1066207
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Clinical and procedural experience using transjugular intrahepatic portosystemic shunt (TIPS) on 7 children with recurrent hemorrhage of esophageal varices is reported. Recurrent hemorrhage from esophageal varices following repeated paravasal sclerosing of the the varices as well as severe-grade hypersplenism are proposed as the indication for its use. The technical details of TIPS, observed and possible early and late complications, the demand for a decrease in the portosystemic pressure gradient to less than 15 mml-Ig and the influence of TIPS on improvement of the varices, hypersplenism and the frequently observed malabsorption are described.
引用
收藏
页码:211 / 215
页数:5
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