Skip to main content
Top

2005 | OriginalPaper | Hoofdstuk

18 Bloedbraken

Auteurs : Prof. Dr. H. W. Tilanus, Dr. H. R. van Buuren

Gepubliceerd in: Chirurgie

Uitgeverij: Bohn Stafleu van Loghum

share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Behandeling van de complicaties van portale hypertensie vereist kennis van de ernst en de prognose van het onderliggende leverlijden. Dit laatste is zelden eenduidig en meestal betreft het een combinatie van problemen, bijvoorbeeld alcoholabusus en een chronische virusinfectie, of het gebruik van hepatotoxische medicatie in combinatie met een cholestatische leverziekte.
Daarnaast is kennis vereist van de diverse chirurgische en niet-chirurgische behandelingsmogelijkheden en van de verschillende, soms zeldzame, complicaties van portale hypertensie. Multidisciplinair overleg voordat een behandelingstraject wordt ingezet is essentieel.
Literatuur
go back to reference Francis R de. Developing consensus in portal hypertension. J Hepatol 1996; 25: 390–4.CrossRef Francis R de. Developing consensus in portal hypertension. J Hepatol 1996; 25: 390–4.CrossRef
go back to reference Goff JS. Gastroesophageal varices: pathogenesis and therapy of acute bleeding. Gastroenterol Clin North Am 1993; 22(4): 779–800.PubMed Goff JS. Gastroesophageal varices: pathogenesis and therapy of acute bleeding. Gastroenterol Clin North Am 1993; 22(4): 779–800.PubMed
go back to reference Grace ND. Diagnosis and treatment of gastrointestinal bleeding secondary to portal hypertension. American College of Gastroenterology Practice Parameters Committee. Am J Gastroenterology 1997; 92: 1081–91. Grace ND. Diagnosis and treatment of gastrointestinal bleeding secondary to portal hypertension. American College of Gastroenterology Practice Parameters Committee. Am J Gastroenterology 1997; 92: 1081–91.
go back to reference Hillebrand DJ, Kojouri K, Cao S. Small-diameter portocaval H-graft shunt: a paradigm shift back to surgical shunting in the management of variceal bleeding in patients with preserved liver function. Liver Transpl 2000; 6(4): 459–65.PubMedCrossRef Hillebrand DJ, Kojouri K, Cao S. Small-diameter portocaval H-graft shunt: a paradigm shift back to surgical shunting in the management of variceal bleeding in patients with preserved liver function. Liver Transpl 2000; 6(4): 459–65.PubMedCrossRef
go back to reference Knechtle SJ, D’Alessandro AM, Armbrust MJ. Surgical portosystemic shunts for treatment of portal hypertensive bleeding: outcome and effect on liver function. Surgery 1999; 126(4): 708–11.PubMedCrossRef Knechtle SJ, D’Alessandro AM, Armbrust MJ. Surgical portosystemic shunts for treatment of portal hypertensive bleeding: outcome and effect on liver function. Surgery 1999; 126(4): 708–11.PubMedCrossRef
go back to reference Lay CS, Tsai YT, Teg CY. Endoscopic variceal ligation in prophylaxis of first variceal bleeding in cirrhotic patients with high-risk esophageal varices. Hepatology 1997; 25: 1346–50.PubMedCrossRef Lay CS, Tsai YT, Teg CY. Endoscopic variceal ligation in prophylaxis of first variceal bleeding in cirrhotic patients with high-risk esophageal varices. Hepatology 1997; 25: 1346–50.PubMedCrossRef
go back to reference Lebrec D, Benhamou JP. Ectopic varices in portal hypertension. Clin Gastroenterol 1985; 14(1): 105–21.PubMed Lebrec D, Benhamou JP. Ectopic varices in portal hypertension. Clin Gastroenterol 1985; 14(1): 105–21.PubMed
go back to reference Rössle M, Siegerstetter V. Huber M. The first decade of the transjugular intrahepatic portosystemic shunt (TIPS): state of the art. Liver 1998; 18: 73–89.PubMedCrossRef Rössle M, Siegerstetter V. Huber M. The first decade of the transjugular intrahepatic portosystemic shunt (TIPS): state of the art. Liver 1998; 18: 73–89.PubMedCrossRef
go back to reference The North Italian Endoscopic Club for the study and treatment of esophageal varices. Prediction of the first variceal hemorrhage in patients with cirrhosis of the liver and esophageal varices. A prospective multicenter study. New Engl J Med 1998; 319: 983–9. The North Italian Endoscopic Club for the study and treatment of esophageal varices. Prediction of the first variceal hemorrhage in patients with cirrhosis of the liver and esophageal varices. A prospective multicenter study. New Engl J Med 1998; 319: 983–9.
go back to reference Warren ZD, Zeppa R, Foman JJ. Selective trans-splenic decompression of gastroesophageal varices by distal splenoral shunt. Ann Surg 1976; 166: 437–55.CrossRef Warren ZD, Zeppa R, Foman JJ. Selective trans-splenic decompression of gastroesophageal varices by distal splenoral shunt. Ann Surg 1976; 166: 437–55.CrossRef
Metagegevens
Titel
18 Bloedbraken
Auteurs
Prof. Dr. H. W. Tilanus
Dr. H. R. van Buuren
Copyright
2005
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-313-8404-4_46