The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis

Upper gastrointestinal bleeding episodes from variceal structures are severe complications in patients with portal hypertension. Endoscopic sclerotherapy and variceal ligation are the treatment options preferred for upper variceal bleeding owing to extrahepatic portal hypertension due to portal vein...

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Autores principales: Hau, Hans Michael, Fellmer, Peter, Schoenberg, Markus B, Schmelzle, Moritz, Morgul, Mehmet Haluk, Krenzien, Felix, Wiltberger, Georg, Hoffmeister, Albrecht, Jonas, Sven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4080782/
https://www.ncbi.nlm.nih.gov/pubmed/24965047
http://dx.doi.org/10.1186/2047-783X-19-36
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author Hau, Hans Michael
Fellmer, Peter
Schoenberg, Markus B
Schmelzle, Moritz
Morgul, Mehmet Haluk
Krenzien, Felix
Wiltberger, Georg
Hoffmeister, Albrecht
Jonas, Sven
author_facet Hau, Hans Michael
Fellmer, Peter
Schoenberg, Markus B
Schmelzle, Moritz
Morgul, Mehmet Haluk
Krenzien, Felix
Wiltberger, Georg
Hoffmeister, Albrecht
Jonas, Sven
author_sort Hau, Hans Michael
collection PubMed
description Upper gastrointestinal bleeding episodes from variceal structures are severe complications in patients with portal hypertension. Endoscopic sclerotherapy and variceal ligation are the treatment options preferred for upper variceal bleeding owing to extrahepatic portal hypertension due to portal vein thrombosis (PVT). Recurrent duodenal variceal bleeding in non-cirrhotic patients with diffuse porto-splenic vein thrombosis and subsequent portal cavernous transformation represent a clinical challenge if classic shunt surgery is not possible or suitable. In this study, we represent a case of recurrent bleeding of duodenal varices in a non-cirrhotic patient with cavernous transformation of the portal vein that was successfully treated with a collateral caval shunt operation.
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spelling pubmed-40807822014-07-03 The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis Hau, Hans Michael Fellmer, Peter Schoenberg, Markus B Schmelzle, Moritz Morgul, Mehmet Haluk Krenzien, Felix Wiltberger, Georg Hoffmeister, Albrecht Jonas, Sven Eur J Med Res Case Report Upper gastrointestinal bleeding episodes from variceal structures are severe complications in patients with portal hypertension. Endoscopic sclerotherapy and variceal ligation are the treatment options preferred for upper variceal bleeding owing to extrahepatic portal hypertension due to portal vein thrombosis (PVT). Recurrent duodenal variceal bleeding in non-cirrhotic patients with diffuse porto-splenic vein thrombosis and subsequent portal cavernous transformation represent a clinical challenge if classic shunt surgery is not possible or suitable. In this study, we represent a case of recurrent bleeding of duodenal varices in a non-cirrhotic patient with cavernous transformation of the portal vein that was successfully treated with a collateral caval shunt operation. BioMed Central 2014-06-25 /pmc/articles/PMC4080782/ /pubmed/24965047 http://dx.doi.org/10.1186/2047-783X-19-36 Text en Copyright © 2014 Hau et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Hau, Hans Michael
Fellmer, Peter
Schoenberg, Markus B
Schmelzle, Moritz
Morgul, Mehmet Haluk
Krenzien, Felix
Wiltberger, Georg
Hoffmeister, Albrecht
Jonas, Sven
The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis
title The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis
title_full The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis
title_fullStr The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis
title_full_unstemmed The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis
title_short The collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis
title_sort collateral caval shunt as an alternative to classical shunt procedures in patients with recurrent duodenal varices and extrahepatic portal vein thrombosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4080782/
https://www.ncbi.nlm.nih.gov/pubmed/24965047
http://dx.doi.org/10.1186/2047-783X-19-36
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