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Portasystemic shunt in the treatment of gastropathy caused by portal hypertension

González, P.S.; Villanueva, C.; Monés, J.; Boadas, J.; Oliva, E.; Balanzó, J.

Medicina Clinica 97(19): 741-743

1991

ISSN/ISBN: 0025-7753
PMID: 1800864
Document Number: 387907
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.

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