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

Authors
Luketic, VA Sanyal, AJ
Citation
Va. Luketic et Aj. Sanyal, Esophageal varices II. TIPS (transjugular intrahepatic portosystemic shunt) and surgical therapy, GASTRO CLIN, 29(2), 2000, pp. 387
Citations number
172
Categorie Soggetti
Gastroenerology and Hepatology
Journal title
GASTROENTEROLOGY CLINICS OF NORTH AMERICA
ISSN journal
08898553 → ACNP
Volume
29
Issue
2
Year of publication
2000
Database
ISI
SICI code
0889-8553(200006)29:2<387:EVIT(I>2.0.ZU;2-U
Abstract
The role of surgery in the prevention and treatment of variceal hemorrhage is reviewed. Types of available surgery, their physilogic basis, and litera ture supporting their use are discussed in the context of the natural histo ry of variceal hemorrhage. The evolution of transjugular intrahepatic porto systemic shunt (TIPS) as a treatment modality for variceal hemorrhage is re viewed. The effects of TIPS on portal and systemic hemodynamics and clinica l usefulness in the management of variceal hemorrhage are discussed. A trea tment algorithm for the integrated use of the various treatments is provide d.