SURGICAL MANAGEMENT OF PORTAL HYPERTENSION
Identifieur interne : 00D741 ( Main/Exploration ); précédent : 00D740; suivant : 00D742SURGICAL MANAGEMENT OF PORTAL HYPERTENSION
Auteurs : Guy Maddern [France, Australie] ; Bernard Meunier [France] ; Bernard Launois [France]Source :
- Australian and New Zealand Journal of Surgery [ 0004-8682 ] ; 1994-12.
English descriptors
- KwdEn :
- Budd chiari syndrome, Clinical trial, Distal splenorenal shunt, Encephalopathy, Endoscopic, Endoscopic sclerotherapy, Esophageal, Esophageal varices, Extrahepatic, Extrahepatic obstruction, Haemorrhage, Hepatic, Hepatic veins, Hypertension, Injection sclerotherapy, Intrahepatic, Intrahepatic obstruction, Liver transplantation, Medical treatment, Mesocaval, Mesocaval shunt, Obstruction, Oesophageal varices, Portacaval, Portacaval shunt, Portacaval shunts, Portal, Portal hypertension, Portal pressure, Prophylactic, Prophylaxis, Prospective randomized, Randomized, Randomized trial, Sclerotherapy, Secondary prophylaxis, Shunt, Splenorenal, Stent, Stent shunt, Suprahepatic obstruction, Surg, Surgical, Surgical management, Syndrome, Thrombosis, Transplantation, Variceal, Variceal haemorrhage, Variceal hemorrhage, Varix, Vena cava, Venous.
- Teeft :
- Budd chiari syndrome, Clinical trial, Distal splenorenal shunt, Encephalopathy, Endoscopic, Endoscopic sclerotherapy, Esophageal, Esophageal varices, Extrahepatic, Extrahepatic obstruction, Haemorrhage, Hepatic, Hepatic veins, Hypertension, Injection sclerotherapy, Intrahepatic, Intrahepatic obstruction, Liver transplantation, Medical treatment, Mesocaval, Mesocaval shunt, Obstruction, Oesophageal varices, Portacaval, Portacaval shunt, Portacaval shunts, Portal, Portal hypertension, Portal pressure, Prophylactic, Prophylaxis, Prospective randomized, Randomized, Randomized trial, Sclerotherapy, Secondary prophylaxis, Shunt, Splenorenal, Stent, Stent shunt, Suprahepatic obstruction, Surg, Surgical, Surgical management, Syndrome, Thrombosis, Transplantation, Variceal, Variceal haemorrhage, Variceal hemorrhage, Varix, Vena cava, Venous.
Abstract
The surgical management of portal hypertension depends on the location of the obstruction. Suprahepatic obstruction is usually optimally treated by a surgical portacaval shunt. In extrahepatic obstruction the treatment should be sclerotherapy. For intrahepatic obstruction in emergency situations, sclerotherapy is the first choice, with portacaval systemic shunts or transjugular intrahepatic portal systemic stent shunt the second option. Liver transplantation in other situations should, if possible, be considered ahead of a portal diversion.
Url:
DOI: 10.1111/j.1445-2197.1994.tb04555.x
Affiliations:
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Le document en format XML
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<author><name sortKey="Meunier, Bernard" sort="Meunier, Bernard" uniqKey="Meunier B" first="Bernard" last="Meunier">Bernard Meunier</name>
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<term>Clinical trial</term>
<term>Distal splenorenal shunt</term>
<term>Encephalopathy</term>
<term>Endoscopic</term>
<term>Endoscopic sclerotherapy</term>
<term>Esophageal</term>
<term>Esophageal varices</term>
<term>Extrahepatic</term>
<term>Extrahepatic obstruction</term>
<term>Haemorrhage</term>
<term>Hepatic</term>
<term>Hepatic veins</term>
<term>Hypertension</term>
<term>Injection sclerotherapy</term>
<term>Intrahepatic</term>
<term>Intrahepatic obstruction</term>
<term>Liver transplantation</term>
<term>Medical treatment</term>
<term>Mesocaval</term>
<term>Mesocaval shunt</term>
<term>Obstruction</term>
<term>Oesophageal varices</term>
<term>Portacaval</term>
<term>Portacaval shunt</term>
<term>Portacaval shunts</term>
<term>Portal</term>
<term>Portal hypertension</term>
<term>Portal pressure</term>
<term>Prophylactic</term>
<term>Prophylaxis</term>
<term>Prospective randomized</term>
<term>Randomized</term>
<term>Randomized trial</term>
<term>Sclerotherapy</term>
<term>Secondary prophylaxis</term>
<term>Shunt</term>
<term>Splenorenal</term>
<term>Stent</term>
<term>Stent shunt</term>
<term>Suprahepatic obstruction</term>
<term>Surg</term>
<term>Surgical</term>
<term>Surgical management</term>
<term>Syndrome</term>
<term>Thrombosis</term>
<term>Transplantation</term>
<term>Variceal</term>
<term>Variceal haemorrhage</term>
<term>Variceal hemorrhage</term>
<term>Varix</term>
<term>Vena cava</term>
<term>Venous</term>
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<term>Clinical trial</term>
<term>Distal splenorenal shunt</term>
<term>Encephalopathy</term>
<term>Endoscopic</term>
<term>Endoscopic sclerotherapy</term>
<term>Esophageal</term>
<term>Esophageal varices</term>
<term>Extrahepatic</term>
<term>Extrahepatic obstruction</term>
<term>Haemorrhage</term>
<term>Hepatic</term>
<term>Hepatic veins</term>
<term>Hypertension</term>
<term>Injection sclerotherapy</term>
<term>Intrahepatic</term>
<term>Intrahepatic obstruction</term>
<term>Liver transplantation</term>
<term>Medical treatment</term>
<term>Mesocaval</term>
<term>Mesocaval shunt</term>
<term>Obstruction</term>
<term>Oesophageal varices</term>
<term>Portacaval</term>
<term>Portacaval shunt</term>
<term>Portacaval shunts</term>
<term>Portal</term>
<term>Portal hypertension</term>
<term>Portal pressure</term>
<term>Prophylactic</term>
<term>Prophylaxis</term>
<term>Prospective randomized</term>
<term>Randomized</term>
<term>Randomized trial</term>
<term>Sclerotherapy</term>
<term>Secondary prophylaxis</term>
<term>Shunt</term>
<term>Splenorenal</term>
<term>Stent</term>
<term>Stent shunt</term>
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<term>Surg</term>
<term>Surgical</term>
<term>Surgical management</term>
<term>Syndrome</term>
<term>Thrombosis</term>
<term>Transplantation</term>
<term>Variceal</term>
<term>Variceal haemorrhage</term>
<term>Variceal hemorrhage</term>
<term>Varix</term>
<term>Vena cava</term>
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<front><div type="abstract" xml:lang="en">The surgical management of portal hypertension depends on the location of the obstruction. Suprahepatic obstruction is usually optimally treated by a surgical portacaval shunt. In extrahepatic obstruction the treatment should be sclerotherapy. For intrahepatic obstruction in emergency situations, sclerotherapy is the first choice, with portacaval systemic shunts or transjugular intrahepatic portal systemic stent shunt the second option. Liver transplantation in other situations should, if possible, be considered ahead of a portal diversion.</div>
</front>
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<name sortKey="Launois, Bernard" sort="Launois, Bernard" uniqKey="Launois B" first="Bernard" last="Launois">Bernard Launois</name>
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