Tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica: caso clínico / Treatment of refractory ascites using a transjugular intrahepatic portosystemic shunt TIPS: clinical case
Rev. méd. Chile
;
127(10): 1229-35, oct. 1999. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-255306
ABSTRACT
Approximately, 10 percent of cirrhotic patients with ascites become refractory to medical treatment, a condition that reduces overall survival. TIPS is a therapeutic alternative for the management of refractory ascites. It corrects sinusoidal portal hypertension, becoming a rational and relatively safe therapeutic approach. The most frequent complications of TIPS are the development of hepatic encephalopathy and a high incidence of shunt stenosis or occlusion after one year of follow-up. We report a 43 years old alcoholic cirrhotic male with ascites refractory to medical treatment, that required multiple large volume paracentesis, whose clinical condition deteriorated progressively. A TIPS was successfully placed with a rapid and complete resolution of ascites and marked improvement of his clinical condition. During the ensuing six months the patient remained in excellent conditions, but was lost from follow-up and resumed excessive alcohol intake. Eight months after TIPS placement he had an upper gastrointestinal bleeding and died
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Ascites
/
Portasystemic Shunt, Transjugular Intrahepatic
Type of study:
Diagnostic study
/
Etiology study
Limits:
Adult
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
1999
Type:
Article
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