Portal hypertension surgery: Difference between revisions

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=== Ascites treatment ===
=== Ascites treatment ===
* [[Refractory]] [[ascites]] that is not responsive to [[medical therapy]] would be treated with [[Transjugular intrahepatic portosystemic shunt|TIPS]].
* [[Refractory]] [[ascites]] that is not responsive to [[medical therapy]] is treated with [[Transjugular intrahepatic portosystemic shunt|TIPS]].
* [[Peritoneovenous shunt|Peritoneovenous shunts]] are the basic treatment for the refractory [[ascites]].
* [[Peritoneovenous shunt|Peritoneovenous shunts]] are the basic treatment for the refractory [[ascites]].
* [[Peritoneovenous shunt|Peritoneovenous shunts]] bypass the [[ascites]] fluid into the systemic [[veins]].<ref name="pmid1568775">{{cite journal |vauthors=Arroyo V, Ginès P, Planas R |title=Treatment of ascites in cirrhosis. Diuretics, peritoneovenous shunt, and large-volume paracentesis |journal=Gastroenterol. Clin. North Am. |volume=21 |issue=1 |pages=237–56 |year=1992 |pmid=1568775 |doi= |url=}}</ref>  
* [[Peritoneovenous shunt|Peritoneovenous shunts]] bypass the [[ascites]] fluid into the systemic [[veins]].<ref name="pmid1568775">{{cite journal |vauthors=Arroyo V, Ginès P, Planas R |title=Treatment of ascites in cirrhosis. Diuretics, peritoneovenous shunt, and large-volume paracentesis |journal=Gastroenterol. Clin. North Am. |volume=21 |issue=1 |pages=237–56 |year=1992 |pmid=1568775 |doi= |url=}}</ref>  
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==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Hepatology]]
[[Category:Hepatology]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:needs content]]
[[Category:Emergency medicine]]
[[Category:Needs overview]]
[[Category:Up-To-Date]]
 
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Latest revision as of 14:18, 7 December 2017

Portal Hypertension Microchapters

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Overview

Historical Perspective

Classification

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Differentiating Portal Hypertension from other Diseases

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Risk calculators and risk factors for Portal hypertension surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Overview

Surgery is not the first-line treatment option for patients with portal hypertension. Surgery is usually reserved for patients with either severe cirrhosis, esophageal varices, splenomegaly, ascites, or liver failure.

Surgery

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Surgery is not the first-line treatment option for patients with portal hypertension. Surgery is usually reserved for patients with either:[1]


Transjugular intrahepatic portosystemic shunting


Esophageal varices ligation


Splenectomy


Ascites treatment


Liver transplantation

References

  1. Collins JC, Sarfeh IJ (1995). "Surgical management of portal hypertension". West J Med. 162 (6): 527–35. PMC 1022831. PMID 7618313.
  2. Lahat E, Lim C, Bhangui P, Fuentes L, Osseis M, Moussallem T, Salloum C, Azoulay D (2017). "Transjugular intrahepatic portosystemic shunt as a bridge to non-hepatic surgery in cirrhotic patients with severe portal hypertension: a systematic review". HPB (Oxford). doi:10.1016/j.hpb.2017.09.006. PMID 29110990.
  3. Poza Cordon J, Froilan Torres C, Burgos García A, Gea Rodriguez F, Suárez de Parga JM (2012). "Endoscopic management of esophageal varices". World J Gastrointest Endosc. 4 (7): 312–22. doi:10.4253/wjge.v4.i7.312. PMC 3399010. PMID 22816012.
  4. Bradley EL (1987). "The natural history of splenic vein thrombosis due to chronic pancreatitis: indications for surgery". Int. J. Pancreatol. 2 (2): 87–92. PMID 3500243.
  5. Arroyo V, Ginès P, Planas R (1992). "Treatment of ascites in cirrhosis. Diuretics, peritoneovenous shunt, and large-volume paracentesis". Gastroenterol. Clin. North Am. 21 (1): 237–56. PMID 1568775.
  6. Starzl TE, Van Thiel D, Tzakis AG, Iwatsuki S, Todo S, Marsh JW; et al. (1988). "Orthotopic liver transplantation for alcoholic cirrhosis". JAMA. 260 (17): 2542–4. PMC 3091380. PMID 3050180.

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