[Transjugular intrahepatic portosystemic shunt for esophagogastric variceal bleeding in liver cirrhosis: intended population and timing]

Zhonghua Gan Zang Bing Za Zhi. 2017 Jun 20;25(6):402-407. doi: 10.3760/cma.j.issn.1007-3418.2017.06.002.
[Article in Chinese]

Abstract

Esophagogastric variceal bleeding is a life-threatening complication of cirrhotic portal hypertension. Transjugular intrahepatic portosystemic shunt (TIPS) is an effective method for the treatment and prevention of esophagogastric variceal bleeding; however, right timing of TIPS and selection of appropriate candidates for TIPS are of vital importance in improving patients' survival rate and reducing mortality rate. This article reviews the intended population and right timing of TIPS for the treatment and prevention of esophagogastric variceal bleeding in liver cirrhosis.

食管胃底静脉曲张破裂出血是肝硬化门静脉高压的致命性并发症。经颈内静脉肝内门体分流术(TIPS)是治疗和预防肝硬化食管胃底静脉曲张出血的有效方法,但是严格掌握TIPS手术时机、选择合适的手术患者对提高患者生存率、降低病死率至关重要。现就TIPS治疗和预防肝硬化食管胃底静脉曲张出血的最适人群和时机作一概述。。.

Keywords: Esophageal and gastric varices; Liver cirrhosis; Transjugular intrahepatic portosystemic shunt.

Publication types

  • Review

MeSH terms

  • Esophageal and Gastric Varices / surgery*
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / surgery*
  • Humans
  • Hypertension, Portal / complications*
  • Liver Cirrhosis / complications*
  • Portasystemic Shunt, Transjugular Intrahepatic / methods*
  • Treatment Outcome