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.
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 - https://www.diseaseinfosearch.org/result/5881
DB - PRIME
DP - Unbound Medicine
ER -