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Hau, HM; Fellmer, P; Schoenberg, MB; Schmelzle, M; Morgul, MH; Krenzien, F; Wiltberger, G; Hoffmeister, A; Jonas, S.
The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis.
Eur J Med Res. 2014; 19(1): 36 Doi: 10.1186/2047-783X-19-36 (- Case Report) [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Hau Hans-Michael
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Abstract:
Upper gastrointestinal bleeding episodes from variceal structures are severe complications in patients with portal hypertension. Endoscopic sclerotherapy and variceal ligation are the treatment options preferred for upper variceal bleeding owing to extrahepatic portal hypertension due to portal vein thrombosis (PVT). Recurrent duodenal variceal bleeding in non-cirrhotic patients with diffuse porto-splenic vein thrombosis and subsequent portal cavernous transformation represent a clinical challenge if classic shunt surgery is not possible or suitable.In this study, we represent a case of recurrent bleeding of duodenal varices in a non-cirrhotic patient with cavernous transformation of the portal vein that was successfully treated with a collateral caval shunt operation.
Find related publications in this database (using NLM MeSH Indexing)
Adult - administration & dosage
Duodenum - blood supply
Gastrointestinal Hemorrhage - etiology, surgery
Humans - administration & dosage
Hypertension, Portal - etiology, surgery
Male - administration & dosage
Portacaval Shunt, Surgical - methods
Portal Vein - abnormalities, surgery
Recurrence - administration & dosage
Varicose Veins - complications, surgery
Vena Cava, Inferior - surgery
Venous Thrombosis - etiology, surgery

Find related publications in this database (Keywords)
duodenal varice
portal vein thrombosis
portal hypertension
shunt surgery
collateral caval shunt
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