Open AccessTransjugular intrahepatic portosystemic shunt and splenectomy are more effective than endoscopic therapy for recurrent variceal bleeding in patients with idiopathic noncirrhotic portal hypertension
Author(s) -
Fuliang He,
Ruizhao Qi,
Yue-Ning Zhang,
Ke Zhang,
Yuzheng Zhuge,
Min Wang,
Yu Wang,
Jidong Jia,
Fuquan Liu
Publication year - 2020
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v8.i10.1871
Subject(s) - medicine , gastroenterology , portal hypertension , portal vein thrombosis , transjugular intrahepatic portosystemic shunt , cirrhosis , hepatic encephalopathy , superior mesenteric vein , thrombosis , splenectomy , portal venous pressure , surgery , portal vein , spleen
Transjugular intrahepatic portosystemic shunt (TIPS), splenectomy plus esophagogastric devascularization (SED) and endoscopic therapy + non-selective β-blockers (ET + NSBB) are widely applied in secondary prevention of recurrent gastroesophageal variceal bleeding in patients with liver cirrhosis. These different treatments, however, have not been compared in patients with idiopathic non-cirrhotic portal hypertension (INCPH).