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Danis oesophageal stent in treatment of variceal bleeding


Authors: T. Fejfar 1;  V. Šafka 2;  V. Jirkovský 1;  P. Hůlek 1
Authors place of work: II. interní gastroenterologická klinika FN Hradec Králové 1;  Ústav fyziologie, LF UK v Hradci Králové 2
Published in the journal: Gastroent Hepatol 2013; 67(2): 98-103
Category: Hepatology: Review article

Summary

Acute oesophagealvariceal bleeding is still a serious and life-threatening complication of symptomatic portal hyper­tension. Despite the current treatment with volume expansion, appropriate hemosubstitution, broad-spectrum antibiotics, vaso­active drugs and endoscopic treatment, it is still associated with high risk of failure and early relapse. Balloon tamponade or porto­systemic shunt creation are the potential salvage therapies. The use of a special coated self-expandable metal oesophageal stent as an alternative to balloon tamponade, or in cases of contraindications to portosystemic shunt creation, has been supported by more data in the last decade.

Key words:
portal hypertension – variceal bleeding – therapy – stent


Zdroje

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Štítky
Paediatric gastroenterology Gastroenterology and hepatology Surgery

Článok vyšiel v časopise

Gastroenterology and Hepatology

Číslo 2

2013 Číslo 2
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