The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis

European Journal of Medical Research

Sven Jonas³  Albrecht Hoffmeister¹  Georg Wiltberger³  Felix Krenzien³  Mehmet Haluk Morgul³  Moritz Schmelzle³  Markus B Schoenberg²  Peter Fellmer³  Hans Michael Hau³ 

[1] Department of Internal Medicine, Gastroenterology, University Hospital of Leipzig, Liebigstrasse 20, 04103 Leipzig, Germany;Department of Visceral, Transplantation, Vascular and Thoracic Surgery, University Hospital of München (LMU), Marchioninistrasse 15, 81377 Munich, Germany;Department of Visceral, Transplantation, Vascular and Thoracic Surgery, University Hospital of Leipzig, Liebigstrasse 20, 04103 Leipzig, Germany

关键词: collateral caval shunt;    shunt surgery;    portal hypertension;    portal vein thrombosis;    duodenal varice;   

Others  :  815193
DOI  :  10.1186/2047-783X-19-36

 received in 2014-05-20, accepted in 2014-06-12,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Hau et al.; licensee BioMed Central Ltd.

【 图 表 】

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