Publication at Faculty of Medicine in Hradec Králové |
2013
Abstract
Acute oesophagealvariceal bleeding is still a serious and life-threatening complication of symptomatic portal hypertension. Despite the current treatment with volume expansion, appropriate hemosubstitution, broad-spectrum antibiotics, vasoactive drugs and endoscopic treatment, it is still associated with high risk of failure and early relapse.
Balloon tamponade or portosystemic shunt creation are the potential salvage therapies. The use of a special coated self-expandable metal oesophageal stent as an alternative to balloon tamponade, or in cases of contraindications to portosystemic shunt creation, has been supported by more data in the last decade.