Derivación portosistémica intrahepática transyugular precoz: cuándo, cómo y a quién
| Autor: | Virginia Hernández-Gea, Esteban Ruiz-Blard, Juan Carlos García-Pagán, Fanny Turon, Anna Baiges |
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| Rok vydání: | 2016 |
| Předmět: |
Variceal bleeding
medicine.medical_specialty Hepatology medicine.diagnostic_test business.industry medicine.medical_treatment Gastroenterology Psychological intervention medicine.disease Endoscopy Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Intervention (counseling) medicine Portal hypertension 030211 gastroenterology & hepatology In patient business Adverse effect Transjugular intrahepatic portosystemic shunt |
| Zdroj: | Gastroenterología y Hepatología. 39:472-476 |
| ISSN: | 0210-5705 |
| DOI: | 10.1016/j.gastrohep.2015.09.013 |
| Popis: | Early TIPS is basically a new application of an old concept. This intervention used to be a useful rescue therapy when other interventions failed but has now become a primary intervention in patients with variceal bleeding and risk factors for poor prognosis. This technique has also been proven to control bleeding and has a definite survival advantage at 6 weeks and 1 year over standard therapy with vasoactive drugs and endoscopy, without increasing the rate of adverse events. In well-trained hands and with appropriate candidate selection, early TIPS is a safe, life-saving and evidenced-based procedure. |
| Databáze: | OpenAIRE |
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