| Autor: |
Broto J; Departamento de Cirugía Pediátrica, Unidad de Gastroenterología, Ciudad Sanitaria Vall d'Hebron, Barcelona., Rius JM, Tormo R, Infante D, Casasa JM, Gil Vernet JM, Marhuenda C, Presedo A, Boix Ochoa J |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica [Cir Pediatr] 1995 Jan; Vol. 8 (1), pp. 37-9. |
| Abstrakt: |
The transjugular portosystemic bypass is a new technique for treating portal hypertension of an intrahepatic nature by inserting a multipurpose catheter through the jugular vein and vena cava as far as the suprahepatic vein, with the aid of a puncture device it is fed via the hepatic parenchyma into a portal branch. The passageway thus created is distended with a balloon to permit the insertion of an extensible metal mesh prosthesis or "stent" to maintain a permeable connection. Our experiment was conducted on a paediatric patient suffering from mucoviscidosis with severe pulmonary and hepatic involvement and recurrent bleeding in an uncontrollable position. After inserting the bypass, portal pressure dropped sharply and the bleeding stopped, the patient being discharged on the sixth day. Two months after the bypass, the coronary vein of the stomach, the seat of the gastric varicose veins, was selectively occluded through the stent via the femoral vein. Six months after follow-up, the digestive bleeding has not recurred. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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