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The article is professionally consulted by Master, Doctor Vu Huy Hoang - Radiologist - Department of Diagnostic Imaging and Nuclear Medicine - Vinmec Times City International General Hospital. The doctor has 10 years of experience working in the field of diagnostic imaging.The technique of creating an intrahepatic porto-hepatic shunt through the jugular vein is an endovascular interventional technique indicated for the treatment of bleeding cases due to ruptured esophageal varices and for the prevention of recurrent bleeding in patients with high blood pressure. portal venous pressure due to cirrhosis...
1. Technique to create portal - main shunt through intrahepatic jugular vein
The technique of creating an intrahepatic porto-hepatic shunt through the jugular vein was researched and developed by Dr. Josef Resch since 1969. However, with the appearance of metal stents in the late 1980s, the shunt technique. door - new owner proved effective.The technique of creating a portal - master shunt is an endovascular interventional technique that helps create a flow from the portal vein into the superior hepatic vein in order to reduce portal pressure.
Intrahepatic portal anastomosis is performed when portal pressure is elevated. Decompression by passing through the available anastomotic venous system to form “varices”.
2. What disease is the technique of creating a portal shunt in the liver?
The technique of creating intrahepatic portal shunt applied to the treatment of portal hypertension is typical. Especially for cases of cirrhosis, portal hypertension is one of the inevitable developments. The most serious complication and high rate of portal hypertension is gastrointestinal bleeding due to rupture of esophageal and gastric varices. Therefore, the technique of creating an intrahepatic portal-host shunt through the jugular vein is indicated for bleeding cases due to ruptured esophageal varices when medical measures fail to prevent recurrent bleeding. in cirrhotic patients with portal hypertension who have failed endoscopic therapy, or ascites persists.Besides, some indications and contraindications include:
Kỹ thuật tạo Shunt cửa chủ trong gan được áp dụng điều trị bệnh tăng áp tĩnh mạch cửa là điển hình
Gastrointestinal bleeding due to rupture of varicose veins of the esophagus - stomach (acute, recurrent) that does not respond to medical treatment; Treatment-resistant ascites; Budd Chiari syndrome ; Resistant pleural effusion caused by cirrhosis; Gastropathy due to portal hypertension. 2.2 Contraindications to treatment Treatment is contraindicated in some of the following cases:
Severe liver failure; Biliary tract infection; Heart failure ; Pulmonary arterial hypertension; Portal venous cavernous transformation; Sepsis ; Severe liver and brain disease; Bile duct dilation. In summary, the technique of creating intrahepatic porto-hepatic shunt through the jugular vein is an endovascular interventional technique that helps to create a flow from the portal vein into the superior hepatic vein in order to reduce portal pressure. This technique has been successfully applied to treat such as gastrointestinal bleeding due to rupture of esophageal-gastroesophageal varices, increased venous pressure, Budd Chiari syndrome, refractory pleural effusion due to cirrhosis, ascites. treatment-resistant abdomen, gastric disease caused by portal hypertension...
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