title: [Transjugular intrahepatic portosystemic shunt plus embolotherapy in the treatment of gastroesophageal varices: a report of 38 patients].
abstract: OBJECTIVE
  To evaluate the efficacy of transjugular intrahepatic portosystemic shunt (TIPS) plus embolotherapy in the treatment of patients with gastroesophageal varices.
  
  
  METHODS
  A total of 36 patients with gastroesophageal varices underwent the therapies of TIPS plus embolotherapy from July 2005 to March 2011 at Provincial Hospital Affiliated to Shandong University. The rechecked items included abdominal ultrasound examination, liver function test and blood routine examination at Day 7 post-operation. All received endoscopic examinations at Month 1.
  
  
  RESULTS
  The technical success rate of TIPS plus embolotherapy was 100%. The portal vein pressures declined from (28 ± 8) mm Hg (1 mm Hg = 0.133 kPa) to (14 ± 7) mm Hg at post-operation. Angiography showed gastroesophageal varices disappeared in all patients. Both liver function and gastroesophageal varices markedly improved. During the follow-up period of 3 - 6 months, 4 cases had hepatic encephalopathy and 1 case stent restenosis at post-operation. And most cases were resolved after treatment. No rebleeding occurred during the follow-up period.
  
  
  CONCLUSIONS
  The combined modality of TIPS plus embolotherapy can effectively lower portal vein pressure and cure esophageal and gastric varice bleeding. As a safe and excellent interventional procedure with fewer complications and a lower recurrence rate of portal hypertension, it has great clinical values in the treatment of portal hypertension and gastroesophageal varices.
authors.affiliation: Department of Gastroenterology, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China. Email: whbjn@sina.com.
authors.forename: Hong-bo
authors.initials: HB
authors.lastname: Wang
authors.forename: An-zhong
authors.initials: AZ
authors.lastname: Zhang
authors.forename: Chong-mei
authors.initials: CM
authors.lastname: Yang
authors.forename: Yi
authors.initials: Y
authors.lastname: Cui
authors.forename: Jun-yong
authors.initials: JY
authors.lastname: Zhang
authors.forename: Fu-li
authors.initials: FL
authors.lastname: Liu
authors.forename: Chun-qing
authors.initials: CQ
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D004621:Embolization, Therapeutic; D004932:Esophageal and Gastric Varices / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000379:methods*; D016896:Treatment Outcome