The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis
نویسندگان
چکیده
Upper gastrointestinal bleeding episodes from variceal structures are severe complications in patients with portal hypertension. Endoscopic sclerotherapy and variceal ligation are the treatment options preferred for upper variceal bleeding owing to extrahepatic portal hypertension due to portal vein thrombosis (PVT). Recurrent duodenal variceal bleeding in non-cirrhotic patients with diffuse porto-splenic vein thrombosis and subsequent portal cavernous transformation represent a clinical challenge if classic shunt surgery is not possible or suitable.In this study, we represent a case of recurrent bleeding of duodenal varices in a non-cirrhotic patient with cavernous transformation of the portal vein that was successfully treated with a collateral caval shunt operation.
منابع مشابه
Management of Bleeding Œsophageal Varices when Portal Systemic Shunt is Inadvisable, with Particular Reference to the Use of Balloon Tamponade and Sclerosing Injections
HAEMORRHAGE from cesophageal varices is a dreaded and frequently fatal complication of portal hypertension. In patients with cirrhosis the mortality within one year of the first hxmorrhage is from 25-75 per cent. The most effective way of preventing recurrent bleeding is reduction of the portal pressure by some form of portal-systemic shunt, but unfortunately there are patients where this is im...
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