经颈静脉肝内门体分流术。当前概念

[Transjugular portosystemic shunt. The current concepts].

作者信息

Ferral H, Alcántara-Peraza A, Kimura-Fujikami Y, Castañeda-Zúñiga W

机构信息

Department of Radiology, Louisiana State University, New Orleans, USA.

出版信息

Rev Gastroenterol Mex. 1994 Oct-Dec;59(4):317-23.

PMID:7709129

Abstract

The transjugular intrahepatic portosystemic shunt (TIPS) is an alternative therapeutic approach in the treatment of hemorrhagic portal hypertension. The use of this procedure was established in 1988 and since then, its use has extended impressively. Currently, the accepted indication for TIPS is the variceal bleeding secondary to portal hypertension refractory to medical management or sclerotherapy. In this paper the basic concepts of the TIPS procedure are reviewed, including historical perspective, technical aspects, indications, contraindications and complications.

摘要

经颈静脉肝内门体分流术（TIPS）是治疗出血性门静脉高压症的一种替代治疗方法。该手术于1988年开始应用，自那时起，其应用范围得到了显著扩展。目前，TIPS公认的适应证是药物治疗或硬化治疗无效的门静脉高压继发的静脉曲张出血。本文回顾了TIPS手术的基本概念，包括历史背景、技术要点、适应证、禁忌证和并发症。