The use of transjugular intrahepatic portosystemic stent shunt in the management of acute oesophageal variceal haemorrhage.

Abstract

Variceal haemorrhage is a common and serious complication of portal hypertension. Endoscopic therapy is successful in the majority in controlling bleeding but in those who continue to bleed transjugular intrahepatic portosystemic stent shunt is highly effective in achieving haemostasis, although the evidence base that this is associated with improved survival is limited. This review discusses initial management and then the particular role of transjugular intrahepatic portosystemic stent shunt. A management algorithm is proposed. The timing of intervention is emphasized and the importance of admission to specialized centres. Regional protocols are probably essential for the latter to be organized effectively.

• Authors: Norma C McAvoy, Peter C Hayes
• Journal: European journal of gastroenterology & hepatology (Eur J Gastroenterol Hepatol) Vol. 18 Issue 11 Pg. 1135-41 (Nov 2006) ISSN: 0954-691X [Print] England
• PMID: 17033431 (Publication Type: Journal Article, Review)

Topics

• Acute Disease
• Esophageal and Gastric Varices (complications, surgery)
• Gastrointestinal Hemorrhage (etiology, surgery)
• Humans
• Hypertension, Portal (complications, surgery)
• Portasystemic Shunt, Transjugular Intrahepatic (instrumentation, methods)
• Salvage Therapy
• Stents