[Esophageal varices hemorrhage in portal hypertension (author's transl)].
Diagnostic and therapeutic possibilities for esophageal varices hemorrhage in portal hypertension are indicated with reference to 149 patients. In the acute phase, operative measures are to be rejected because the lethality is too high. Conservative treatment with a Blakemore-Sengstaken probe should always be introduced at first. After confirmation of the conditions in the liver, a pressure-reducing anastomosis operation (delayed emergency shunt) must be performed. For this purpose we prefer the terminolateral splenorenal anastomosis.
D000328:Adult; D004630:Emergencies; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D006489:Hemostatic Techniques; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications* / Q000601:surgery; D008103:Liver Cirrhosis / Q000150:complications; D010166:Palliative Care; D011167:Portacaval Shunt, Surgical / Q000009:adverse effects / Q000379:methods / Q000401:mortality; D011379:Prognosis; D012008:Recurrence
Die Osophagus-varizenblutung bei portaler Hypertension