Gastrointestinal varices surgery: Difference between revisions
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==Overview== | ==Overview== | ||
[[Endoscopic]] procedures along with [[pharmacotherapy]] is the first line management of gastrointestinal varices. During [[endoscopic]] procedures the rate of [[hemostasis]] failure is almost 10%-20%, and [[mortality]] is approximately 60% if a second unsuccessful [[endoscopic]] treatment is performed without further intervention. In such situation surgical intervention may be required to achieve [[hemostasis]] and to stop the [[bleeding]]. Surgical shunts used for the management of bleeding gastrointestinal varices include pericardial devascularization plus proximal splenorenal shunt, Warren shunt, | |||
==Surgery== | ==Surgery== | ||
* [[Endoscopic]] procedures along with [[pharmacotherapy]] is the first line management of gastrointestinal varices. | |||
* During [[endoscopic]] procedures the rate of hemostasis failure is almost 10%-20%, and [[mortality]] is approximately 60% if a second unsuccessful [[endoscopic]] treatment is performed without further intervention. | |||
* In such situation surgical intervention may be required to achieve [[hemostasis]] and to stop the [[bleeding]]. | |||
* The following surgical options are available:<ref name="XuZhang2004">{{cite journal|last1=Xu|first1=Chong-En|last2=Zhang|first2=Shu-Guang|last3=Yu|first3=Zhen-Hai|last4=Li|first4=Guang-Xin|last5=Cao|first5=Li-Li|last6=Ruan|first6=Chang-Le|last7=Li|first7=Zhao-Ting|title=Combined devascularization and proximal splenorenal shunt: is this a better option than either procedure alone?|journal=Journal of Hepato-Biliary-Pancreatic Surgery|volume=11|issue=2|year=2004|pages=129–134|issn=0944-1166|doi=10.1007/s00534-003-0881-4}}</ref> | |||
'''(a) Pericardial devascularization (PCDV) plus proximal splenorenal shunt (PSRS)''' | |||
'''(b) A distal splenorenal shunt procedure (DSRS), also called splenorenal shunt procedure and Warren shunt''' | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 19:18, 5 January 2018
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Gastrointestinal varices Microchapters |
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Differentiating Gastrointestinal varices from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Gastrointestinal varices surgery On the Web |
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American Roentgen Ray Society Images of Gastrointestinal varices surgery |
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Risk calculators and risk factors for Gastrointestinal varices surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Endoscopic procedures along with pharmacotherapy is the first line management of gastrointestinal varices. During endoscopic procedures the rate of hemostasis failure is almost 10%-20%, and mortality is approximately 60% if a second unsuccessful endoscopic treatment is performed without further intervention. In such situation surgical intervention may be required to achieve hemostasis and to stop the bleeding. Surgical shunts used for the management of bleeding gastrointestinal varices include pericardial devascularization plus proximal splenorenal shunt, Warren shunt,
Surgery
- Endoscopic procedures along with pharmacotherapy is the first line management of gastrointestinal varices.
- During endoscopic procedures the rate of hemostasis failure is almost 10%-20%, and mortality is approximately 60% if a second unsuccessful endoscopic treatment is performed without further intervention.
- In such situation surgical intervention may be required to achieve hemostasis and to stop the bleeding.
- The following surgical options are available:[1]
(a) Pericardial devascularization (PCDV) plus proximal splenorenal shunt (PSRS)
(b) A distal splenorenal shunt procedure (DSRS), also called splenorenal shunt procedure and Warren shunt
References
- ↑ Xu, Chong-En; Zhang, Shu-Guang; Yu, Zhen-Hai; Li, Guang-Xin; Cao, Li-Li; Ruan, Chang-Le; Li, Zhao-Ting (2004). "Combined devascularization and proximal splenorenal shunt: is this a better option than either procedure alone?". Journal of Hepato-Biliary-Pancreatic Surgery. 11 (2): 129–134. doi:10.1007/s00534-003-0881-4. ISSN 0944-1166.