Nonendoscopic management of gastric varices

Wilkins, Lippincott Williams; Sabri, Saher S.

doi:10.1016/j.tgie.2017.03.008

Cited by 7 publications

(1 citation statement)

References 36 publications

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“…52,53 Biliary tract fistulas were contributing to shunt occlusion. 3,54,55 The advent of polytetrafluoroethylene (PTFE)-covered stent grafts has greatly improved patency. [56][57][58] Indications/Contraindications Indications for TIPS in the setting of VH (EV and GV) are well demarcated by American Association for the Study of Liver Diseases (AASLD) Practice Guidelines: (1) TIPS is indicated in rescue therapy for acute VH that is refractory to medical and endoscopic intervention; (2) it is also indicated in recurrent VH despite medical and endoscopic treatment; (3) an emerging indication is the early TIPS creation within 24 to 72 hours of acute VH.…”

Section: Tips Historymentioning

confidence: 99%

Endovascular Treatment for Variceal Hemorrhage: TIPS, BRTO, and Combined Approaches

Lipnik

Pandhi

Khabbaz

et al. 2018

Semin intervent Radiol

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Variceal hemorrhage is a feared complication of portal hypertension, with high rates of morbidity and mortality. Optimal management requires a thoughtful, multidisciplinary approach. In cases of refractory or recurrent esophageal hemorrhage, endovascular approaches such as transjugular intrahepatic portosystemic shunt (TIPS) have a well-defined role. For hemorrhage related to gastric varices, the optimal treatment remains to be established; however, there is increasing adoption of balloon-occluded retrograde transvenous obliteration (BRTO). This article will review the concept, history, patient selection, basic technique, and outcomes for TIPS, BRTO, and combined TIPS + BRTO procedures for variceal hemorrhage.

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