TY - JOUR
T1 - Variceal rebleeding after portosystemic shunting
T2 - Strategies and solutions to a vexing problem
AU - Levine, B. A.
AU - Sirinek, K. R.
PY - 1991
Y1 - 1991
N2 - Portosystemic shunting continues to be the mainstay of treatment for variceal hemorrhage secondary to cirrhosis and portal hypertension. Should the shunt fail, rebleeding is often severe, necessitating prompt control and resuscitation. Although attempts to re-establish shunt patency with angiographic techniques may prove fruitful, operative decompression in a previously untouched area of the portal system may become necessary. If these options are available, repeated endoscopic sclerotherapy beomes the best remaining alternative.
AB - Portosystemic shunting continues to be the mainstay of treatment for variceal hemorrhage secondary to cirrhosis and portal hypertension. Should the shunt fail, rebleeding is often severe, necessitating prompt control and resuscitation. Although attempts to re-establish shunt patency with angiographic techniques may prove fruitful, operative decompression in a previously untouched area of the portal system may become necessary. If these options are available, repeated endoscopic sclerotherapy beomes the best remaining alternative.
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U2 - 10.1016/S0039-6109(16)45337-5
DO - 10.1016/S0039-6109(16)45337-5
M3 - Article
C2 - 1989102
AN - SCOPUS:0026099003
SN - 0039-6109
VL - 71
SP - 117
EP - 130
JO - Surgical Clinics of North America
JF - Surgical Clinics of North America
IS - 1
ER -