title: [Portasystemic shunt in the treatment of gastropathy caused by portal hypertension].
abstract: Gastropathy by portal hypertension constitutes the second cause of digestive hemorrhage in these patients following esophagogastric varices. Beta-blocker drugs seem efficient in treatment as occasionally does therapeutic endoscopy. The case of a patient with chronic liver disease with upper digestive hemorrhage is presented. The patient did not respond to medical treatment with beta-blockers nor to endoscopy (thermic and sclerosant). Portocaval anastomosis was performed with no posterior hemorrhagic relapse. The use of shunt surgery has been suggested in this pathology given the rarity of its presentation in patients with this type of operation. The satisfactory evolution of the patient seems to confirm this hypothesis.
authors.affiliation: Servicio de Patología Digestiva, Hospital de la Santa Creu i Sant Pau, Barcelona.
authors.forename: P S
authors.initials: PS
authors.lastname: González
authors.forename: C
authors.initials: C
authors.lastname: Villanueva
authors.forename: J
authors.initials: J
authors.lastname: Monés
authors.forename: J
authors.initials: J
authors.lastname: Boadas
authors.forename: E
authors.initials: E
authors.lastname: Oliva
authors.forename: J
authors.initials: J
authors.lastname: Balanzó
mesh_terms: D004932:Esophageal and Gastric Varices / Q000150:complications / Q000628:therapy*; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000517:prevention & control*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011170:Portasystemic Shunt, Surgical; D013997:Time Factors
vernacular_title: Derivación portosistémica en el tratamiento de la gastropatía por hipertensión portal.