Portal hypertensive gastropathy surgery
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Portal Hypertensive Gastropathy Microchapters |
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Differentiating Portal Hypertensive Gastropathy from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery
Transcutaneous Intrahepatic Portosystemic Shunt
Transcutaneous intrahepatic portosystemic shunt procedures, or TIPS involve decompressing the portal vein by shunting a portal venule to a lower pressure systemic venule, under guidance with fluoroscopy. Since it treats the root cause of portal hypertension gastropathy, it has been putatively used for the condition. The literature reports suggest both regression of portal hypertensive gastropathy on endoscopic images and improvement in bleeding after TIPS.[1]
Cryotherapy
Finally, cryotherapy involves the use of pressurized carbon dioxide administered through the endoscope to freeze and destroy tissue in a focal area. It is being studied for the treatment of portal hypertensive gastropathy.[2]
References
- ↑ Urata J, Yamashita Y, Tsuchigame T; et al. (1998). "The effects of transjugular intrahepatic portosystemic shunt on portal hypertensive gastropathy". J. Gastroenterol. Hepatol. 13 (10): 1061–7. PMID 9835325.
- ↑ Clarke JO, Thuluvath PJ (2007). "Endoscopic frontiers in the field of hepatology". Minerva gastroenterologica e dietologica. 53 (1): 101–9. PMID 17415347.