Three cases of digestive tract hemorrhage of portal hypertension combine portal vein wide embolism after transjugular intrahepatic portosystemic stent shunt treatment

VernacularTitle:颈静脉肝内门体分流术治疗门静脉高压并门静脉广泛栓子后消化道出血三例
Author: Junhua ZHANG ; Jinlong ZHANG ; Tao ZHANG ; Sujing ZHANG ; Huijun XU ; Yu LI
Publication Type:Journal Article
Keywords: Transjugular intrahepatic portosystemic stent shunt; Portal vein wide embolism; Gastrointestinal Bleeding
From: Clinical Medicine of China 2013;29(12):1329-1331
CountryChina
Language:Chinese
Abstract: Objective To investigate the effect of transjugular intrahepatic portosystemic stent shunt (TIPS) on gastrointestinal bleeding after portal hypertension and portal vein wide embolism.Methods Three patients with acute upper gastrointestinal bleeding were diagnosed by CT with wide embolus formation in portal vein and superior mesenteric vein,of which,1 case was with spleen vein embolism formation.TIPS hemostatic treatment was applied to stop bleeding,and stents was placed where distal embolus can be observed by angiography.Results After TIPS treatment,no patients were re-bleeding during following-up periods (4-6 weeks).Uncomfortable symptoms of 3 cases were disappeared.Conclusion TIPS was a safe and effective way to treat gastrointestinal bleeding caused by portal hypertension and wide embolus formation.