Danis oesophageal stent in treatment of variceal bleeding

Czech version

Authors: T. Fejfar ¹; V. Šafka ²; V. Jirkovský ¹; P. Hůlek ¹
Authors‘ workplace: II. interní gastroenterologická klinika FN Hradec Králové ¹; Ústav fyziologie, LF UK v Hradci Králové ²
Published in: Gastroent Hepatol 2013; 67(2): 98-103
Category: Hepatology: Review article

Overview

Acute oesophagealvariceal bleeding is still a serious and life-threatening complication of symptomatic portal hypertension. Despite the current treatment with volume expansion, appropriate hemosubstitution, broad-spectrum antibiotics, vasoactive drugs and endoscopic treatment, it is still associated with high risk of failure and early relapse. Balloon tamponade or portosystemic shunt creation are the potential salvage therapies. The use of a special coated self-expandable metal oesophageal stent as an alternative to balloon tamponade, or in cases of contraindications to portosystemic shunt creation, has been supported by more data in the last decade.

Key words:
portal hypertension – variceal bleeding – therapy – stent

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