提示：一种治疗肝外胆管闭锁所致食管静脉曲张出血的新疗法。
TIPS: a new therapy for esophageal variceal bleeding caused by EHBA.
作者信息
Schweizer P, Brambs H J, Schweizer M, Astfalk W
机构信息
Department of Pediatric Surgery, University of Tübingen, Germany.
出版信息
Eur J Pediatr Surg. 1995 Aug;5(4):211-5. doi: 10.1055/s-2008-1066207.
Clinical and procedural experience using transjugylar intrahepatic portosystemic shunt (TIPS) on 7 children with recurrent hemorrhage of esophageal varices is reported. Recurrent hemorrhage from esophageal varices following repeated paravasal sclerosing of the varices as well as severe-grade hypersplenism are proposed as the indication for its use. The technical details of TIPS, observed and possible early and late complications, the demand for a decrease in the portosystemic pressure gradient to less than 15 mmHg and the influence of TIPS on improvement of the varices, hypersplenism and the frequently observed malabsorption are described.
报告了对7例患有复发性食管静脉曲张出血的儿童使用经颈静脉肝内门体分流术（TIPS）的临床和操作经验。静脉曲张反复旁静脉硬化后出现的食管静脉曲张复发性出血以及重度脾功能亢进被提议作为使用该技术的指征。描述了TIPS的技术细节、观察到的以及可能出现的早期和晚期并发症、将门体压力梯度降至低于15 mmHg的要求以及TIPS对静脉曲张改善、脾功能亢进和常见的吸收不良的影响。
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