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Surgery for portal hypertension.
Hepatogastroenterology. 1991 Oct; 38(5):355-9.H

Abstract

Now that endoscopic sclerotherapy is available, the rôle of surgery in portal hypertension needs to be reconsidered. Emergency treatment of bleeding esophageal varices is based on sclerotherapy, which has widely replaced such surgical procedures as emergency portocaval shunts. Sclerotherapy can be extended to repeated endoscopic sclerosis as definitive management to prevent recurrence of variceal bleeding. Only if varices cannot be treated adequately by sclerotherapy, or in the case of local complications are surgical measures of decompression indicated. For "Child C" patients gastric devascularization or transsection should be considered. For "Child A" or "Child B" patients, distal splenorenal shunts or portocaval shunts should be given preference.

Authors+Show Affiliations

Neuhaus P
Freie Universität Berlin, Universitätsklinikum Rudolf Virchow, Standort Charlottenburg.
Blumhardt G
No affiliation info available

MeSH

EmergenciesEsophageal and Gastric VaricesGastrointestinal HemorrhageHumansHypertension, PortalPortacaval Shunt, SurgicalPortasystemic Shunt, SurgicalSclerotherapy

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

1765350

Citation

Neuhaus, P, and G Blumhardt. "Surgery for Portal Hypertension." Hepato-gastroenterology, vol. 38, no. 5, 1991, pp. 355-9.
Neuhaus P, Blumhardt G. Surgery for portal hypertension. Hepatogastroenterology. 1991;38(5):355-9.
Neuhaus, P., & Blumhardt, G. (1991). Surgery for portal hypertension. Hepato-gastroenterology, 38(5), 355-9.
Neuhaus P, Blumhardt G. Surgery for Portal Hypertension. Hepatogastroenterology. 1991;38(5):355-9. PubMed PMID: 1765350.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgery for portal hypertension. AU - Neuhaus,P, AU - Blumhardt,G, PY - 1991/10/1/pubmed PY - 1991/10/1/medline PY - 1991/10/1/entrez SP - 355 EP - 9 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 38 IS - 5 N2 - Now that endoscopic sclerotherapy is available, the rôle of surgery in portal hypertension needs to be reconsidered. Emergency treatment of bleeding esophageal varices is based on sclerotherapy, which has widely replaced such surgical procedures as emergency portocaval shunts. Sclerotherapy can be extended to repeated endoscopic sclerosis as definitive management to prevent recurrence of variceal bleeding. Only if varices cannot be treated adequately by sclerotherapy, or in the case of local complications are surgical measures of decompression indicated. For "Child C" patients gastric devascularization or transsection should be considered. For "Child A" or "Child B" patients, distal splenorenal shunts or portocaval shunts should be given preference. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/1765350/Surgery_for_portal_hypertension_ L2 - http://www.diseaseinfosearch.org/result/5881 DB - PRIME DP - Unbound Medicine ER -