Bülent ÇOLAK, Eylem KARATAY, Harun ERDAL, Mahir KELEŞ, İBRAHİM DOĞAN, Selahattin ÜNAL

Self-Expandable Metal Stent Application as Bridging Therapy in Refractory Esophageal Variceal Bleeding

Özofagus varis kanaması sirotik hastalarda portal hipertansiyonun ciddi bir komplikasyonudur. Varis kanamasında asıl tedavi band ligasyonu ve skleroterapi yöntemlerinin kombinasyonu şeklindedir. Olguların %10'u klasik tedavi yöntemlerine dirençli ve yüksek mortaliteye sahiptir. Biz daha önce multipl band ligasyon öyküsü olan iki hastada cerrahi ve TIPS uygulaması öncesi uyguladığımız kaplı self ekspandable metal stent uygulaması deneyimimizi sunduk . (JAREM 2016; 6: 119-21)

Dirençli Özofagus Kanamalarında Köprü Tedavisi Olarak Self Expandable Metal Stent Uygulaması

Esophageal variceal bleeding is a serious complication of portal hypertension in cirrhotic patients. Current treatment approach consists of band ligation and sclerotherapy. More than 10% of variceal bleedings are refractory to standard treatments and have a higher mortality rate. In this study, we aimed to share our experiences regarding covered self-expanding metal stent (SEMS) as a bridging therapy to permanent treatments, which decrease portal blood pressure, such as TIPS and surgery in two refractory variceal bleeding patients who were referred to our hospital with a past history of multiple band ligations to esophageal varies. (JAREM 2016; 6: 119-21)

Tam Metin

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1. Dechene A, El Fouly AH, Bechmann LP, Jochum C, Saner FH, Gerken G, et al. Acute Menagement of Refractory Variceal Bleeding in Liver Cirrhosis by Self-Expanding Metal Stents. Digestion 2012; 85: 185- 91. [CrossRef]

2. Fabienne CF, Kistler W, Stenz V, Gubler C. Treatment of Esophageal Variceal Hemorrhage with Self- Expanding Metal Stents as a Rescue Maneuver in a Swiss Multicentric Cohort. Case Rep Gastroenterol 2013; 7: 97-105. [CrossRef]

3. D'Amico M, Berzigotti A, Garcia-Pagan JC. Refractory Acute Variceal Bleeding: Whatto Do Next? Clin Liver Dis 2010; 14: 297-305. [CrossRef]

4. Wright G, Lewis H, Hogan B, Burroughs A, Patch D, O'Beirne J. A Self-expanding metal stent for complicated variceal hemorrhage: experince a single center. Gastrointestian Endoscopy 2010; 71: 71-8. [CrossRef]