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Selective Variceal Decompression: Current Status [PDF]
Since its introduction into clinical practice in 1967, selective variceal decompression by means of a distal splenorenal shunt (DSRS) has become one of the more commonly performed portal-systemic shunting procedures in the treatment of variceal ...
Jin, Gongliang, Rikkers, Layton F.
core +41 more sources
Transjugular Intrahepatic Portasystemic Shunt vs Surgical Shunt in Good-Risk Cirrhotic Patients [PDF]
In good-risk patients with variceal bleeding undergoing portal decompression, surgical shunt is more effective, more durable, and less costly than angiographic shunt (transjugular intrahepatic portasystemic shunt [TIPS]).Retrospective case-control study.Academic referral center for liver disease.Patients with Child-Pugh class A or B cirrhosis with at ...
W. Scott Helton+3 more
openaire +3 more sources
Abstract Background Transjugular intrahepatic portasystemic stent shunt (TIPSS), instead of surgical shunt, has become the standard treatment for patients with complicated portal hypertension. This study compared outcomes in patients who underwent TIPSS or surgical shunting for complicated portal ...
Marc-Antoine Allard+10 more
openaire +4 more sources
Are TIPS Tops in the Treatment of Portal Hypertension? A Review on the Use and Misuse of Transjugular Intrahepatic Portosystemic Shunts [PDF]
Complications of portal hypertension are the Achilles heel of end-stage liver disease. Although initially developed in the 1960s, transjugular intrahepatic portosystemic shunts (TIPS) have recently gained popularity for decompressing the portal vein in ...
Arun J Sanyal, Richard K Sterling
core +7 more sources
Surgical shunting was the mainstay in treating portal hypertension for years. Recently, trans-jugular intrahepatic portasystemic shunting (TIPS) has replaced surgical shunting, first as a “bridge” to transplantation and ultimately as first-line therapy for bleeding varices.
Sam Al-Saadi+7 more
openaire +4 more sources
Plug-assisted retrograde transvenous obliteration has been recognized as a safe and effective treatment modality for patients with gastric variceal bleeding.
Trong Binh Le+6 more
doaj +1 more source
Liver transplantation in patients with previous portasystemic shunt [PDF]
Over a 9-year period, 58 patients who had previous portasystemic shunt procedures underwent orthotopic liver transplantation (OLTx) under a cyclosporine-steroid immunosuppressive regimen.
Makowka, L+5 more
core +1 more source
Hepatic and renal metabolism before and after portasystemic shunts in patients with cirrhosis.
Hepatic cirrhosis with portal hypertension and gastroesophageal hemorrhage is a disease complex that continues to be treated by surgical portasystemic shunts. Whether or not a reduction or diversion of portal blood flow to the liver adversely affects the
O. Owen+6 more
semanticscholar +1 more source
Distal Splenorenal Shunt for Portal Vein Thrombosis after Liver Transplantation [PDF]
A 17‐yr‐oId female received a liver transplant for type I glycogen storage disease. A year later, when she experienced variceal gastrointestinal hemorrhage, an angiogram revealed thrombosis of the portal vein with hepatopetal collateral channels.
Esquivel, CO+6 more
core +1 more source
Primary prevention and management of variceal bleeding: Review of Historical Evidence [PDF]
Background: Prevention and control of active bleeding caused by portal hypertension is still a challenge. Surgery used to be the only option in the earlier days, but now many options exist.
Suliman, MOM
core +2 more sources