Digestive Diseases
Management of Esophageal Varices
Bleeding Esophageal Varices: Today’s Role of Portosystemic ShuntsCavallari A. · De Raffele E. · Bellusci R. · Bragaglia R. · Nardo B. · Vivarelli M. · Recordare A.Istituto di Clinica Chirurgica II e Cattedra di Anatomia Chirurgica, Università di Bologna, Bologna, Italia
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Article / Publication Details
Published online: November 04, 2008
Issue release date: 1992
Number of Print Pages: 10
Number of Figures: 0
Number of Tables: 0
ISSN: 0257-2753 (Print)
eISSN: 1421-9875 (Online)
For additional information: https://www.karger.com/DDI
Abstract
Emergency portosystemic shunting has once again become a significant option in the management of bleeding esophageal varices and portal hypertension. The decision to perform such a shunt and the choice of shunt procedure requires a rational assessment of the pathophysiology and hepatoportal hemodynamics of the patient’s disease and the manner in which it is anticipated that the selected procedure may alter portal flow. Since shunt surgery may interfere with hepatic transplantation, the patient’s suitability as a future transplant recipient must also be considered in choosing a shunt procedure. Furthermore, if a shunt is to be performed on an emergency basis to control acute bleeding, this procedure must be done before the patient’s condition deteriorates sufficiently to represent a prohibitive surgical risk.
© 1992 S. Karger AG, Basel
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Article / Publication Details
Published online: November 04, 2008
Issue release date: 1992
Number of Print Pages: 10
Number of Figures: 0
Number of Tables: 0
ISSN: 0257-2753 (Print)
eISSN: 1421-9875 (Online)
For additional information: https://www.karger.com/DDI
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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