Grandma Ge is 76 years old this year
A sudden onset of recurrent vomiting of blood
A great deal of blood gushed from his mouth
Sudden illness
Mrs. Gerhardt’s children were all in a panic
Just dial 120
Trying to stop the bleeding
After the arrival of the first aid, Grandma Ge was sent to our hospital for emergency treatment. The gastroenterology department of our hospital did emergency gastroscopy for Grandma Ge immediately. It was clear that Ge Grandma was suffering from esophageal and gastric varices caused by portal hypertension, so she immediately asked the interventional vascular department for consultation to assist in further treatment.
He Xu, chief physician of interventional department of our hospital received the diagnosis, after an emergency discussion program, that the most ideal treatment is: jugular portal vein – body vein shunt, or Tips. With grandma Ge and her family agreed, director he immediately for grandma Ge’s team to operate.
In Tips surgery, the jugular vein is first punctured, the guide wire is sent to the inferior vena cava and adjusted to the hepatic vein, and the portal vein is punctured using the puncture system in the liver. After successful puncture, the portal vena cava access is established through balloon dilation and stent implantation.
Grandma Yan underwent preoperative portal pulse angiography
The operation went smoothly, The portal vein pressure of Ge Grandma dropped from 28mmHg to 13mmHg, the operation was satisfactory, Ge Grandma did not have any hematemesis. There was no incision in the minimally invasive operation, and the recovery was also very fast. Grandma Ge was discharged from hospital successfully only two days after the operation.
Grandma Yan underwent portal vein angiography
He Xu, director of interventional medicine in our hospital explained that the vascular access of normal people is the portal vein into the liver and then into the inferior vena cava. If cirrhosis occurs, the portal vein is stagnated downstream of the river, and the portal vein “floods.” This is called portal hypertension.
The flood will flood the tributaries of the portal vein, such as the esophageal and gastric fundus veins. The esophageal and gastric fundus veins increase blood flow, pressure increases, like a balloon inflated with air, this is the esophageal and gastric fundus varices. If the balloon was blown up, is the esophageal and gastric varicose veins rupture bleeding, also appeared grandma Ge a lot of vomiting blood symptoms.
Unlike stents placed after artery stenosis, which dredge normal blood vessels and are equivalent to clearing rivers, Tips creates a passageway that did not exist before and is equivalent to digging a Grand Canal, he said. So Tips is one of the most complicated interventional procedures. At present, the interventional department of Nanjing First Hospital routinely carries out this operation, and has achieved good results.
What is interventional therapy?
Interventional therapy in vascular ZaoYingJi imaging equipment such as digital subtraction angiography (DSA), CT and ultrasound or magnetic resonance imaging (MRI), under the guidance and monitoring of using needles, tubes and other interventional equipment, through the body’s natural channel or tiny wound will specific equipment import of pathological changes of the human body for minimally invasive treatment of a series of the floorboard of the technology.
Recent Comments