Expert: "Artificial Tunnel" between two blood vessels can cope with medical cirrhosis gastrointestinal bleeding

Text/Yangcheng Evening News all -media reporter Chen Hui correspondent Peng Fuxiang

Picture provided by the respondent

The development of liver cirrhosis to a certain extent may cause the hepatic door venous blood reflux, which leads to the increased pressure of the door venous, and eventually occurs a series of complications such as vomiting blood, black, abdominal bloating and stubborn thoracotism, which greatly threatened Life of patients with cirrhosis. Especially acute gastrointestinal bleeding, if the rescue is not timely, the mortality rate is extremely high. Therefore, it is extremely important to keep the door vein blood flow from the door venous hypertension and reduce the pressure of the door vein.

Recently, the ninth tumor minimally invasive intervention and comprehensive therapy Guangzhou Summit Forum and the Fifth Academic Annual Meeting of the Cancer Professional Committee of the Guangdong Provincial Clinical Medicine Society were held in Guangzhou. In an interview after the forum, the TIPS (splitting of intra -intraocular intra -intra -intra -intra -intra -intra -intra -intra -intra -intra -intra -intra -intra -intra -intra -intra -intra -intra -internal liver dialing) surgery is currently the most effective measure.

Patients with liver cirrhosis are aggravated and will vomit blood and unlock black.

Professor Li Jiaping introduced that the liver is the synthetic factory of the human body. All the nutrients we eat must be sent to the liver for metabolic synthesis after absorbing through the gastrointestinal tract.

For patients with cirrhosis, the liver structure has changed, and the passage of the door vein has also been affected. If the original passage is a highway, for patients with cirrhosis, the passage becomes ordinary national roads, blood cannot flow quickly, and stasis can be accumulated. In the door vein, the vein pressure of the door is very high. As the venous pressure of the door is getting higher and higher, the varicose veins are getting worse, just like blowing balloons, it is easy to cause rupture and bleeding. At this time, the patient will have vomiting or blackbirth.

Peridity (TIPS) is an effective solution

According to Professor Li Jiaping, the digestive tract bleeding caused by the high pressure caused by the gate vein has drug treatment and endoscopic treatment in the past, which can alleviate the condition to a certain extent. However, the venous pressure of the door has not been effectively reduced, and the pressure of vascular pressure with thinning and gastric dilatation of the esophagus and gastric expansion have not decreased. After the patient's condition is relieved, gastrointestinal bleeding will occur again. The average re -bleeding rate is 60%, and the mortality rate is as high as 33%, bringing endless pain and huge economic burden to patients and families.

Peridal permispotomy (TIPS) is a new method for treating venous hypertension in the 1990s in the 1990s. This method has a small trauma, high success rate, low complication, fast intravenous pressure, and accurate efficacy of the control of the door vein hypertension.

Professor Li Jiaping explained that TIPS is to open up a "artificial tunnel" between the gate veins and the hepatic vein. In addition, patients with advanced liver cirrhosis bid farewell to the pain caused by long -term large ascites, and created favorable conditions for extending the lives of patients.

In recent years, TIPS has been promoted rapidly in recent years, and the efficacy has been widely affirmed by scholars at home and abroad, and has been favored by many patients.

The sooner the condition is allowed, the better the treatment

According to reports, including difficulty in controlling esophagus and stomach veins rupture and bleeding, the esophagus and stomach veins can be ruptured and bleeding. Tips can be treated with TIPS.

When do I choose TIPS?

According to Li Jiaping, the study showed that the early TIPS of patients with acute venous song rupture bleeding high -risk group compared with the bleeding control rate of bleeding and endoscopic therapy and the mortality rate of 6 weeks of disease. Therefore, it is recommended to be 72 hours after bleeding, or even 24 hours. Internal treatment is best.

Source | Yangcheng Evening News · Yangcheng School

Responsible | Niu Zhijie

School pair | Pan Liling

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