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Danis oesophageal stent in treatment of variceal bleeding


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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Labels
Paediatric gastroenterology Gastroenterology and hepatology Surgery

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2013 Issue 2

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