Abstract

NIEVES, Ernesto  and  RAMIREZ, Miguel. Portocaval shunts in the era of TIPS, endoscopy and liver transplantation. Indications in acute esophageal hemorrhage. rev. colomb. cir. [online]. 2011, vol.26, n.3, pp.207-213. ISSN 2011-7582.

Portocaval shunts constitute a milestone in the history of the surgical treatment of portal hypertension. Bleeding from esophageal varices is a surgical emergency that demands immediate intervention. The endoscopic management of esophageal varices and the advent of TIPS, plus the development of liver transplantation have diminished the frequency of the use of portocaval shunts. However, these procedures have precise indications, both as emergency operations in some cases of esophageal varicose hemorrhage as well as elective procedures in selected patients with portal hypertension. We hereby present a literature review of the “state of the art” of portocaval shunts motivated by a patient that was successfully treated at Hospital Occidente de Kennedy in Bogotá, Colombia.

Keywords : portal hypertension; esophageal and gastric varices; gastyroiestinal hemorrhage; surgical portocaval shunt.

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