Comparison of endoscopic therapy and TIPS in prophylaxis and treatment of variceal bleeding in decompensated portal hypertension
10.3969/j.issn.1001-5256.2023.07.003
- VernacularTitle:失代偿期门静脉高压症防治：食管胃静脉曲张出血内镜vs经颈静脉肝内门体分流术
- Author:
Mengying LIU
1
;
Weizhi LI
1
;
Peijie LI
1
;
Fuquan MA
1
;
Yuling CHEN
2
;
Huanhuan SUN
1
;
Tiantian GAO
1
;
Hui XUE
1
,
2
Author Information
1. Department of Gastroenterology, The Frist Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
2. Xi'an Jiaotong University Health Science Center, Xi'an 710061, China
- Publication Type:Discussions by Experts
- Keywords:
Portal Hypertension;
Liver Cirrhosis;
Esophageal and Gastric Varices;
Hemorrhage;
Portasystemic Shunt, Transjugular Intrahepatic
- From:
Journal of Clinical Hepatology
2023;39(7):1529-1534
- CountryChina
- Language:Chinese
-
Abstract:
Esophagogastric variceal bleeding (EGVB) is one of the main complications of decompensated portal hypertension, especially in patients with liver cirrhosis, and it often has a high mortality rate. Medication combined with endoscopy is the main prevention and treatment method for EGVB, while transjugular intrahepatic portosystemic shunt (TIPS) combined with variceal embolization can also be selected for some high-risk patients, and individualized diagnosis and treatment of portal hypertension based on hepatic venous pressure gradient should become the latest consensus and the main strategy. This article mainly reviews endoscopic therapy and TIPS for the prevention and treatment of EGVB patients with decompensated portal hypertension in terms of selection of indications, incidence rate of complications, and respective advantages and disadvantages.
