Jaundice surgery: Difference between revisions
Jump to navigation
Jump to search
m (Categories) |
No edit summary |
||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Jaundice}} | {{Jaundice}} | ||
{{CMG}} | {{CMG}}; {{AE}}{{EG}} | ||
==Overview== | ==Overview== | ||
Surgery is not the first-line treatment option for patients with jaundice. Surgery is usually reserved for patients with either cirrhosis, cholestasis, and liver failure. The surgical procedures which are used to treat jaundice include [[Transjugular intrahepatic portosystemic shunt|transjugular intrahepatic portosystemic shunting (TIPS)]], [[cholecystectomy]], and [[liver transplantation]]. | |||
==Surgery== | ==Surgery== | ||
Surgery is not the first-line treatment option for patients with jaundice. Surgery is usually reserved for patients with either: | |||
*[[Cirrhosis]] | |||
*[[Cholestasis]] | |||
*[[Liver transplantation]] | |||
{| align="right" | |||
| {{#ev:youtube|O2u4_hF3234|500}} | |||
|- | | |||
| {{#ev:youtube|ffoKThdqo4I|500}} | |||
|- | | |||
| {{#ev:youtube|hquWw4rRHh8|500}} | |||
|} | |||
===Transjugular intrahepatic portosystemic shunting=== | |||
*[[Transjugular intrahepatic portosystemic shunt|Transjugular intrahepatic portosystemic shunting (TIPS)]] is bypassing the high flow rate of [[portal vein]] into the [[Systemic vein|systemic veins]]. | |||
*[[TIPS]] would decrease the pressure over the [[portal system]] and a decreased risk of complications, such as:<ref name="pmid291109902">{{cite journal |vauthors=Lahat E, Lim C, Bhangui P, Fuentes L, Osseis M, Moussallem T, Salloum C, Azoulay D |title=Transjugular intrahepatic portosystemic shunt as a bridge to non-hepatic surgery in cirrhotic patients with severe portal hypertension: a systematic review |journal=HPB (Oxford) |volume= |issue= |pages= |year=2017 |pmid=29110990 |doi=10.1016/j.hpb.2017.09.006 |url=}}</ref> | |||
**[[Splenomegaly]] | |||
**[[Esophageal varices]] | |||
**[[Gastric varices]] | |||
**[[Collateral circulation|Collateral formations]] | |||
=== Cholecystectomy === | |||
===Liver transplantation=== | |||
*[[Liver transplantation]] is indicated in case of [[liver failure]]. | |||
*[[Liver failure]] may be happened due to any diseases, such as [[cirrhosis]] or chronic portal hypertension.<ref name="pmid3050180">{{cite journal| author=Starzl TE, Van Thiel D, Tzakis AG, Iwatsuki S, Todo S, Marsh JW et al.| title=Orthotopic liver transplantation for alcoholic cirrhosis. | journal=JAMA | year= 1988 | volume= 260 | issue= 17 | pages= 2542-4 | pmid=3050180 | doi= | pmc=3091380 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3050180 }}</ref> | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 19:22, 5 February 2018
|
Jaundice Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Jaundice surgery On the Web |
|
American Roentgen Ray Society Images of Jaundice 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 jaundice. Surgery is usually reserved for patients with either cirrhosis, cholestasis, and liver failure. The surgical procedures which are used to treat jaundice include transjugular intrahepatic portosystemic shunting (TIPS), cholecystectomy, and liver transplantation.
Surgery
Surgery is not the first-line treatment option for patients with jaundice. Surgery is usually reserved for patients with either:
| O2u4_hF3234|500}} |
| ffoKThdqo4I|500}} |
| hquWw4rRHh8|500}} |
Transjugular intrahepatic portosystemic shunting
- Transjugular intrahepatic portosystemic shunting (TIPS) is bypassing the high flow rate of portal vein into the systemic veins.
- TIPS would decrease the pressure over the portal system and a decreased risk of complications, such as:[1]
Cholecystectomy
Liver transplantation
- Liver transplantation is indicated in case of liver failure.
- Liver failure may be happened due to any diseases, such as cirrhosis or chronic portal hypertension.[2]
References
- ↑ 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.
- ↑ 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.