Résumé
L’hypertension portale (HTP), définie par l’augmentation du gradient de pression porto-cave au-dessus de 5 mmHg, est responsable du développement des varices splanchniques, majoritairement oesophagiennes et gastriques. La principale complication de ces varices est l’hémorragie digestive engageant le pronostique vital, particulièrement chez les patients cirrhotiques présentant des troubles de la coagulation.
Preview
Unable to display preview. Download preview PDF.
Références
Vanbiervliet G, Pomier-Layrargues G, Huet PM (2005) Diagnostic invasif de l’hypertension portale au cours des hépatopathies chroniques. Gastroenterol Clin Biol 29: 988–96
Bulois P, Sergent-Baudson G, L’Herminé C, Paris JC (2005) Hémorragies digestives et radiologie interventionnelle. EMC (Elsevier SAS, Paris) Gastro-entérologie, 9-006-A-12
Semiz-Oysu A, Keussen I, Cwikiel W (2007) Interventional Radiological Management of Prehepatic Obstruction the Splanchnic Venous System. Cardiovasc Intervent Radiol 30: 688–95
Yoshida H, Mamada Y, Taniai N, Tajiri T (2007) New methods for the management of oesophageal varices. World J Gastroenterol 13: 1641–45
Pauwels A (2004) Hémorragies digestives; comment traiter une hémorragie aigue par rupture de varices oesophagiennes. Gastroenterol Clin Biol 28: B194–202
Sarin SK, Lahoti D, Saxena SP et al. (1992) Prevalence, classification and natural history of gastric varices: a long-term follow up study in 568 portal hypertension patients. Hepatology 16: 1343–9
Tripathi D, Ferguson JW, Therapondos et al. (2006) Review article: recent advances in the management of bleeding gastric varices. Aliment Pharmacol Ther 24: 1–17
Kanagawa H, Mima S, Kouyama H et al. (1996) Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration. J Gastroenterol Hepatol 11: 51–8
Ninoi T, Nishida N, Kaminou T et al. (2005) Balloon-occluded retrograde transvenous obliteration of gastric varices with gastrorenal shunt: long-term follow up in 78 patients. Am J Roentgenol 184: 1340–6
Choi YH, Yoon CJ, Park JH et al. (2003) Balloon-occluded retrograde transvenous obliteration for gastric variceal bleeding: its feasibility compared with transhepatic portosystemic shunt. Korean J Radiol 4: 109–16
García-Pagán JC, Caca K, Bureau C et al. (2010) Early Use of TIPS in Patients with Cirrhosis and Variceal Bleeding. N Engl J Med 362: 2370–9
Helmy A, Al Kahtani K, Al Fadda M (2008) Updates in the pathogenesis, diagnosis and management of ectopic varices. Hepatol Int 2: 322–34
Norton ID, Andrews JC, Kamath PS (1998) Management of ectopic varices. Hepatology 28: 1154–8
Shibata D, Brophy DP, Gordon FD et al. (1999) Transjugular intrahepatic portosystemic shunt for treatment of bleeding ectopic varices with portal hypertension. Dis Colon Rectum 42: 1581–5
Konate A, Oberti F, Aube C et al. (2007) Embolisation des varices stomiales par injection percutanée de colle biologique. Gastroenterol Clin Biol 31: 300–02
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag France, Paris
About this chapter
Cite this chapter
Muller, C., Borentain, P., Louis, G. (2013). Embolisation splanchnique. In: Thérapeutiques endovasculaires des pathologies veineuses. Springer, Paris. https://doi.org/10.1007/978-2-8178-0291-6_21
Download citation
DOI: https://doi.org/10.1007/978-2-8178-0291-6_21
Publisher Name: Springer, Paris
Print ISBN: 978-2-8178-0290-9
Online ISBN: 978-2-8178-0291-6
eBook Packages: MedicineMedicine (R0)