Esophageal varices II. TIPS (transjugular intrahepatic portosystemic shunt) and surgical therapy

被引：23

作者：

Luketic, VA ^{[1
]}

Sanyal, AJ ^{[1
]}

机构：

[1] Virginia Commonwealth Univ, Med Coll Virginia, Div Gastroenterol & Hepatol, Dept Med, Richmond, VA 23298 USA

来源：

GASTROENTEROLOGY CLINICS OF NORTH AMERICA | 2000年 / 29卷 / 02期

关键词：

D O I：

10.1016/S0889-8553(05)70120-5

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The role of surgery in the prevention and treatment of variceal hemorrhage is reviewed. Types of available surgery, their physilogic basis, and literature supporting their use are discussed in the context of the natural history of variceal hemorrhage. The evolution of transjugular intrahepatic portosystemic shunt (TIPS) as a treatment modality for variceal hemorrhage is reviewed. The effects of TIPS on portal and systemic hemodynamics and clinical usefulness in the management of variceal hemorrhage are discussed. A treatment algorithm for the integrated use of the various treatments is provided.

引用

页码：387 / +

页数：36

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