La derivación portocava en la era del TIPS, la endoscopia y los trasplantes de hígado, su utilidad en la hemorragia esofágica aguda

Autores/as

  • Ernesto Nieves Universidad El Bosque
  • Miguel Ramírez Universidad El Bosque

Palabras clave:

hipertensión portal, várices esofágicas y gástricas, hemorragia gastrointestinal, derivación portocava quirúrgica

Resumen

Las derivaciones portocava marcaron un hito en el devenir histórico de la cirugía para el manejo de la hipertensión portal. El sangrado por várices esofágicas representa una urgencia quirúrgica que demanda intervención inmediata. El tratamiento de las várices esofágicas por abordaje endoscópico o por TIPS y, por otra parte, el advenimiento del trasplante hepático como un procedimiento estándar, ha disminuido la frecuencia con que se realizan tales derivaciones. Sin embargo, estos procedimientos tienen indicaciones precisas, tanto como intervenciones de urgencia en algunos casos de hemorragia esofágica, como en forma electiva en determinados pacientes con hipertensión portal.

Hemos hecho una revisión de la literatura y de los conocimientos actuales de las derivaciones portocava a raíz de un caso tratado en forma exitosa en el Hospital Occidente de Kennedy en Bogotá, Colombia.

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Biografía del autor/a

Ernesto Nieves, Universidad El Bosque

Cirujano general, Hospital Occidente de Kennedy; fellow, Cirugía Vascular, Universidad El Bosque, Bogotá, D.C., Colombia.

Miguel Ramírez, Universidad El Bosque

Cirujano general y vascular, Hospital Occidente de Kennedy; director, Programa de Cirugía Vascular y Angiología, Universidad El Bosque, Bogotá, D.C., Colombia

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Publicado

2011-07-01

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(1)
Nieves, E.; Ramírez, M. La derivación Portocava En La Era Del TIPS, La Endoscopia Y Los Trasplantes De hígado, Su Utilidad En La Hemorragia esofágica Aguda. Rev Colomb Cir 2011, 26, 207-213.

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