Surgical Shunt Versus TIPS for Treatment of Variceal Hemorrhage in the Current Era of Liver and Multivisceral Transplantation

被引：15

作者：

Costa, Guilherme ^{[1
]}

Cruz, Ruy J., Jr. ^{[1
]}

Abu-Elmagd, Kareem M. ^{[1
]}

机构：

[1] Univ Pittsburgh, Med Ctr, Intestinal Rehabil & Transplantat Ctr,Dept Surg, UPMC Montefiore,Thomas E Starzl Transplantat Inst, Pittsburgh, PA 15213 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2010年 / 90卷 / 04期

关键词：

Portal hypertension; Portomesenteric venous thrombosis; Surgical shunt; Transjugular intrahepatic portosystemic shunt; Multivisceral transplant; Hypercoagulable status; DISTAL SPLENORENAL SHUNT; GRAFT PORTACAVAL SHUNTS; PORTAL-HYPERTENSION; ESOPHAGEAL-VARICES; MANAGEMENT; CIRRHOSIS; PATHOPHYSIOLOGY; DECOMPRESSION; SELECTIVITY; TRIAL;

D O I：

10.1016/j.suc.2010.04.015

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Over the last 3 decades, management of acute variceal bleeding and measures to prevent recurrent episodes has evolved due to the introduction of new therapeutic modalities including innovative surgical and minimally invasive shunt procedures. Such an evolution has been compounded by the parallel progress that has been achieved in organ transplantation. This article focuses primarily on the commonly used surgical and radiologic shunt procedures. Liver and multivisceral transplantation are also briefly discussed as important parts of the algorithmic management of these complex patients, particularly those with hepatic decompensation and portomesenteric venous thrombosis

引用

页码：891 / +

页数：16

共 35 条

[1] Five Hundred Intestinal and Multivisceral Transplantations at a Single Center Major Advances With New Challenges [J].

Abu-Elmagd, Kareem M. ;

Costa, Guilherme ;

Bond, Geoffrey J. ;

Soltys, Kyle ;

Sindhi, Rakesh ;

Wu, Tong ;

Koritsky, Darlene A. ;

Schuster, Bonita ;

Martin, Littian ;

Cruz, Ruy J. ;

Murase, Noriko ;

Zeevi, Adriana ;

Irish, William ;

Ayyash, Maher O. ;

Matarese, Laura ;

Humar, Abhinav ;

Mazariegos, George .

ANNALS OF SURGERY, 2009, 250 (04) :567-581

[2]

[Anonymous], CLIN LIVER DIS, DOI DOI 10.1016/J.CLD.2006.08.011

[3]

Boyer T D, 1997, Clin Liver Dis, V1, P31, DOI 10.1016/S1089-3261(05)70253-1

[4]

BOYER TD, 2002, HEPATOLOGY TXB LIVER, P581

[5] Cost of preventing variceal rebleeding with transjugular intrahepatic portal systemic shunt and distal splenorenal shunt [J].

Boyer, Thomas D. ;

Henderson, J. Michael ;

Heerey, Adrienne M. ;

Arrigain, Susana ;

Konig, Vicky ;

Connor, Jason ;

Abu-Elmagd, Kareem ;

Galloway, John ;

Rikkers, Layton F. ;

Jeffers, Lennox .

JOURNAL OF HEPATOLOGY, 2008, 48 (03) :407-414

[6] Partial portacaval shunt for variceal hemorrhage - Longitudinal analysis of effectiveness [J].

Collins, JC ;

Ong, MJ ;

Rypins, EB ;

Sarfeh, IJ .

ARCHIVES OF SURGERY, 1998, 133 (06) :590-592

[7] Diagnosis and monitoring of portal hypertension [J].

de Franchis, R. ;

Dell'Era, A. ;

Primignani, A. .

DIGESTIVE AND LIVER DISEASE, 2008, 40 (05) :312-317

[8] Review article: the modern management of portal hypertension - primary and secondary prophylaxis of variceal bleeding in cirrhotic patients [J].

Garcia-Pagan, J. C. ;

De Gottardi, A. ;

Bosch, J. .

ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2008, 28 (02) :178-186

[9] Management and Treatment of Patients With Cirrhosis and Portal Hypertension: Recommendations From the Department of Veterans Affairs Hepatitis C Resource Center Program and the National Hepatitis C Program [J].

Garcia-Tsao, Guadalupe ;

Lim, Joseph .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 2009, 104 (07) :1802-1829

[10] HYPERDYNAMIC CIRCULATION OF LIVER-DISEASE 40 YEARS LATER - PATHOPHYSIOLOGY AND CLINICAL CONSEQUENCES [J].

GROSZMANN, RJ .

HEPATOLOGY, 1994, 20 (05) :1359-1363

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