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Anonymous users2024-01-241. Patients with ruptured esophageal and gastric varices and hemorrhage, and the effect of conservative treatment is not good.
2. Moderate esophageal and gastric varices, and there is a risk of rupture and bleeding at any time.
3. Refractory ascites caused by portal hypertension.
4. Patients with liver cirrhosis complicated by poor renal function.
Indication extension.
A history of sclerotherapy does not have to be considered.
For refractory ascites, if renal function is acceptable, 90% of the efficacy can be obtained after TIPS, and the liver transplantation period is awaited.
Pediatric portal hypertension (better than endoscopic therapy).
Portal hypertension with hypersplenism.
Budd-Chiarri syndrome.
1 Puncture of portal vein branches is a technical difficulty for TIPS. The spatial relationship between the hepatic vein and the portal vein is complex, and the anatomical variation and pathological changes of liver cirrhosis can change the spatial relationship, making it difficult to locate the portal vein puncture. Therefore, the first thing that should be understood is the normal anatomical relationship, and the possible variation. >>>More
Before preoperative interventional treatment, the patient's liver function and hepatic vascular anatomy are diagnosed, and the internal medicine of non-emergency cases is prepared for triage with surgical procedures (anti-infection, correction of water and electrolyte imbalances, prevention of hepatic encephalopathy, blood preparation). >>>More
Hello: If there is a manifestation of portal hypertension, a portosystemic shunt can be performed. There was time to come to the clinic on Monday to see me. >>>More
Regardless of the effects, the best option now is to get enough rest and not be too agitated or fatigued.
Ideally, bypass grafting between the superior mesenteric vein and the left branch of the portal vein can be performed so that portal vein blood can flow back to the liver through the bridge, relieving hypersplenism and esophageal varices. >>>More