Surgery versus transjugular intrahepatic portal systemic shunt in the treatment of severe variceal bleeding.

Abstract:

:The management of patients who have portal hypertension has changed dramatically over the last 2 decades. Pharmacologic therapy benefits the patient by reducing the risk for an initial bleed, improving the management of an acute bleed, and in reducing the risk for a rebleed. Endoscopic management has improved progressively along with endoscopic technology. For those 20% of patients that continues to have persistent high-risks varices or rebleed through first-line therapy, decompression does remain an option. The three options to decompression are liver transplant, a surgical shunt, or a transjugular intrahepatic portal systemic shunt (TIPS). This article focuses on the relative roles of these options with a particular emphasis on the current available data comparing surgical shunt with TIPS.

journal_name

Clin Liver Dis

journal_title

Clinics in liver disease

authors

Henderson JM

doi

10.1016/j.cld.2006.08.020

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

599-612, ix

issue

3

eissn

1089-3261

issn

1557-8224

pii

S1089-3261(06)00037-7

journal_volume

10

pub_type

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