Recurrent variceal haemorrhage managed with splenic vein stenting.

Abstract:

INTRODUCTION:Extrahepatic Portal Hypertension (EPH) is defined as extrahepatic hypertension of the portal venous system in the absence of liver cirrhosis. Isolated splenic vein stenosis/occlusion as one of the causes of extrahepatic portal hypertension is uncommon, comprising less than 5 % of all cases of portal hypertension. However, it is an increasingly recognised complication of both acute and chronic pancreatitis, and with the advent of more effective diagnostic methods, interventional radiological methods for its management are also becoming more effective. Often these would negate the need for invasive splenectomy surgery for the treatment of symptomatic hypersplenism and varices. METHODS:A case of a 38 year old gentleman, known to have Crohn's disease, presented with severe acute gallstone pancreatitis with necrosis of the pancreatic neck and body. His course was very complicated, requiring two laparotomies and various interventional drainages of variceal bleeds. As a result of non resolving recurrent variceal haemorrhage, it was decided to proceed with splenic vein stenting to relieve the consequences of splenic vein stenosis. A percutaneous transhepatic splenic vein stent was deployed. RESULTS:Immediate decompression of the varices was noted with no further haemmorrhage. CONCLUSION:There are little data to date on splenic vein stenting in the setting of EPH secondary to non-malignant pancreatic disease. We report a case managed successfully with splenic vein stenting and review the existing literature.

journal_name

Ir J Med Sci

authors

El Kininy W,Kearney L,Hosam N,Broe P,Keeling A

doi

10.1007/s11845-016-1420-z

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

323-327

issue

2

eissn

0021-1265

issn

1863-4362

pii

10.1007/s11845-016-1420-z

journal_volume

186

pub_type

杂志文章,评审
  • Advanced practice physiotherapy in paediatric orthopaedics: innovation and collaboration to improve service delivery.

    abstract:INTRODUCTION:One in eight paediatric primary care presentations is for a musculoskeletal (MSK) disorder. These patients are frequently referred to paediatric orthopaedic surgeons; however, up to 50% of referrals are for normal variants. This results in excessive wait-times and impedes access for urgent surgical cases. ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-017-1611-2

    authors: Ó Mír M,O'Sullivan C

    更新日期:2018-02-01 00:00:00

  • A carotid artery aneurysm with a twist: case report and review.

    abstract:BACKGROUND:Since their original description in 1687, aneurysms of the extracranial internal carotid artery (ICA) remain rare and account for less than 2% of all carotid operations (Zwolak et al. in: J Vasc Surg 1:415-422, 1984; El-Sabrout, Cooley in: J Vasc Surg 31:702-712, 2000). Cerebrovascular morbidity and mortalit...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-009-0353-1

    authors: Noad RL,O'Donnell ME,McCavert M,Gardner R,Lee B,Lau LL

    更新日期:2012-09-01 00:00:00

  • Synchronous sigmoid and caecal cancers together with a primary renal cell carcinoma.

    abstract:BACKGROUND:Multiple primary neoplasms, a common clinical entity, can be classified as synchronous or metachronous. Renal cell carcinoma, in particular, is associated with a high rate of multiple primary neoplasms. METHODS:We report a case of a 67-year-old Caucasian woman, who was admitted with history of bleeding per ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0298-4

    authors: Bhargava A,O'Callaghan M,Abdelhafiz T,Downey P,Nasr A,Nibhraonain S,Davenport C,Donovan MG,Keeling P

    更新日期:2012-06-01 00:00:00

  • Primary aldosteronism in pregnancy--should it be treated surgically?

    abstract::We report a case of primary aldosteronism in pregnancy that was treated surgically by removal of the adenoma in the 2nd trimester. Only a few cases have been reported in the English literature due to the rarity of the condition. Primary aldosteronism follows a variable course in pregnancy. In the majority of cases the...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/BF02967204

    authors: Aboud E,De Swiet M,Gordon H

    更新日期:1995-10-01 00:00:00

  • Sudden cardiac death in the young: a 1-year post-mortem analysis in the Republic of Ireland.

    abstract:AIMS:A retrospective post-mortem analysis was undertaken to determine the aetiology of sudden cardiac death (SCD) amongst individuals aged

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0294-8

    authors: Morris VB,Keelan T,Leen E,Keating J,Magee H,O'Neill JO,Galvin J

    更新日期:2009-09-01 00:00:00

  • N-myc oncogene amplification in paediatric tumours.

    abstract::DNA, extracted from tumours arising in 29 paediatric patients [14 neuroblastoma, 9 Wilms tumour (nephroblastoma), 6 miscellaneous] was investigated for evidence of N-myc amplification, using pNb-1, a recombinant plasmid containing a 1.0 Kb fragment homologous to the 5' end of the human N-myc gene. Within the neuroblas...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02937236

    authors: McQuaid S,O'Meara A

    更新日期:1990-06-01 00:00:00

  • Cytomegalovirus infection and steroid-refractory inflammatory bowel disease: possible relationship from an updated meta-analysis.

    abstract:AIMS:Many studies have suggested Cytomegalovirus infection might be implicated in steroid-refractory inflammatory bowel disease (IBD), in which situation management is extremely difficult. CMV infection being a potential cause of IBD have drawn great attention of clinicians, with insufficient evidence to reach conclusi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11845-018-1752-y

    authors: Liu CC,Ji S,Ding Y,Zhou L,Liu X,Li W

    更新日期:2018-11-01 00:00:00

  • Methodologies to assess paediatric adiposity.

    abstract:INTRODUCTION:Childhood obesity is associated with increased risk of adult obesity, cardiovascular disease, diabetes and cancer. Appropriate techniques for assessment of childhood adiposity are required to identify children at risk. The aim of this review was to examine core clinical measurements and more technical tool...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-014-1124-1

    authors: Horan M,Gibney E,Molloy E,McAuliffe F

    更新日期:2015-03-01 00:00:00

  • Isolated third cranial nerve palsy: a rare presentation of neurocysticercosis.

    abstract::Isolated third cranial nerve palsy is usually due to vascular causes like posterior communicating artery aneurysm and it is rare in neurocysticercosis. Third cranial nerve palsy in neurocysticercosis is usually caused by supratentorial or sub-arachnoid lesions with accompanying hydrocephalus or meningitis. We report a...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0308-6

    authors: Ranjith MP,Divya R,Sahni A

    更新日期:2011-12-01 00:00:00

  • The cost of managing diabetic foot ulceration in an Irish hospital.

    abstract:BACKGROUND:Little is known about the economic impact of diabetic foot ulceration in the Irish healthcare setting. AIM:Audit of diabetic foot ulcer admissions in St James's Hospital between April 2001 and March 2002. METHODS:Hospital charts were reviewed and costs were calculated on the length of patients' hospital st...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02914564

    authors: Smith D,Cullen MJ,Nolan JJ

    更新日期:2004-04-01 00:00:00

  • Whipple's procedure for an oligometastasis to the pancreas from a leiomyosarcoma of the thigh.

    abstract:BACKGROUND:Pancreatic tumours are most frequently primary, with lesions secondary to metastasis uncommon. METHODS:This report describes the case of a 61-year-old man who underwent resection of a right thigh leiomyosarcoma 2 years prior to presentation with obstructive jaundice. Subsequent CT and endoscopic ultrasound ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0447-9

    authors: Burke JP,Maguire D,Dillon J,Moriarty M,O'Toole GC

    更新日期:2012-09-01 00:00:00

  • Alterations in human endothelial cell morphology, proliferation and function by a macrophage-derived factor.

    abstract::Changes in endothelial cell (EC) morphology occur at sites of physiological lymphocyte traffic and in areas of chronic inflammation. Previous studies have shown that EC shape changes also occur in vitro following exposure of EC monolayers to peripheral blood mononuclear cell (PBMC)-derived conditioned media (CM). In t...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02942828

    authors: Heffernan M,Chance A,Hess EV,Highsmith RF,FitzGerald O

    更新日期:1994-08-01 00:00:00

  • How reliable is BMI? Bioimpedance analysis of body composition in underweight, normal weight, overweight, and obese women.

    abstract:BACKGROUND:The human body consists of water, proteins, lipids, carbohydrates, and minerals that build cells, tissues, and organs. In healthy people, the content of these molecules remains nearly constant. The body mass index (BMI) is commonly used to classify abnormal body composition among adults. According to the WHO...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02403-3

    authors: Lebiedowska A,Hartman-Petrycka M,Błońska-Fajfrowska B

    更新日期:2020-10-21 00:00:00

  • Impact of safety warnings on domperidone prescribing in Ireland.

    abstract:AIM:This study aimed to investigate the impact of the 2014 safety warnings on use of domperidone, on subsequent prescribing patterns in Ireland. METHODS:The Irish HSE-PCRS pharmacy claims database was used to identify the study cohort (aged 18+), prescribed domperidone from Jan 2014 to Oct 2015. Dosage was available f...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-017-1657-1

    authors: Teeling M,MacAvin MJ,Bennett K

    更新日期:2018-05-01 00:00:00

  • Soft tissue and visceral sarcomas in Irish patients. Interim analysis of data obtained by the Dublin Soft Tissue Tumour Panel.

    abstract::The Dublin Soft Tissue Sarcoma Panel was established in 1989 with a view to achieving a unified approach to diagnosis and management of soft tissue and visceral sarcomas. This interim report presents data on 265 prospectively-evaluated patients and on a separate retrospective series of 126 patients. The patients in th...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02943260

    authors: Gaffney EF,Dervan PA,McCabe MM,Sheahan K,Kay EW,Leader M,Doyle J,Daly PA,Fennelly JJ,Carney DN

    更新日期:1994-05-01 00:00:00

  • The effect of SMS (text message) reminders on attendance at a community adult mental health service clinic: do SMS reminders really increase attendance?

    abstract:BACKGROUND:Non-attendance at outpatient clinics is common and costly. AIMS:This study aimed to determine if sending SMS ('short message service' or text message) reminders to patients before appointments reduced non-attendance. METHODS:We collected outpatient data at Ballyfermot and Lucan Community Adult Mental Healt...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-017-1710-0

    authors: Moran L,O'Loughlin K,Kelly BD

    更新日期:2018-08-01 00:00:00

  • Current concepts on bibliometrics: a brief review about impact factor, Eigenfactor score, CiteScore, SCImago Journal Rank, Source-Normalised Impact per Paper, H-index, and alternative metrics.

    abstract:BACKGROUND:Understanding the impact of a publication by using bibliometric indices becomes an essential activity not only for universities and research institutes but also for individual academicians. This paper aims to provide a brief review of the current bibliometric tools used by authors and editors and proposes an...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-018-1936-5

    authors: Roldan-Valadez E,Salazar-Ruiz SY,Ibarra-Contreras R,Rios C

    更新日期:2019-08-01 00:00:00

  • The ratio of hemoglobin to red cell distribution width predicts survival in patients with gastric cancer treated by neoadjuvant FLOT: a retrospective study.

    abstract:BACKGROUND:Hemoglobin (HB) and red cell distribution width (RDW) are known to be prognostic in many cancer types. The HB-RDW ratio (HRR) is a new biomarker that has been shown to be predictive in some cancer types. However, the prognostic significance of HRR in patients with gastric cancer (GC) is unknown. AIMS:In thi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-02153-x

    authors: Yılmaz A,Mirili C,Tekin SB,Bilici M

    更新日期:2020-02-01 00:00:00

  • Thoracoscopic repair of instrumental perforation of the oesophagus: first report.

    abstract:BACKGROUND:Perforation of the oesophagus is a life-threatening condition requiring early recognition and repair to prevent mediastinitis and death. Primary closure with mediastinal drainage is recognised as the treatment of choice for patients presenting within 24 hours. Many are frail, however, and unsuitable for majo...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF03168953

    authors: Collins C,Arumugasamy M,Larkin J,Martin S,O'Sullivan GC

    更新日期:2002-04-01 00:00:00

  • Cardiac arrest secondary to acute coronary syndrome: a 4-year observational study of patient characteristics and outcomes.

    abstract:BACKGROUND:Cardiac arrest due to ischaemia is frequently the first manifestation of cardiovascular disease. We sought to describe the characteristics and outcomes of patients admitted to the Intensive Care Unit (ICU) with a diagnosis of cardiac arrest secondary to acute coronary syndrome (ACS). METHODS:We performed a ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-016-1422-x

    authors: Gorecka M,Hanley A,Burke F,Nolan P,Crowley J

    更新日期:2017-02-01 00:00:00

  • Trends in private maternity care in Ireland's capital during and after the Great Economic Recession 2009-2017.

    abstract:BACKGROUND:Maternity care in hospitals in the Republic of Ireland is funded by a hybrid of public finance and private health insurance. AIMS:The aim of this longitudinal observational study was to investigate the annual trends in maternity care from 2009 to 2017 during and after the Great Economic Recession. METHODS:...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02415-z

    authors: Reynolds CME,McMahon LE,O'Malley EG,O'Connell MP,Sheehan SR,Turner MJ

    更新日期:2020-10-27 00:00:00

  • ACTH-secreting bronchial carcinoid: a diagnostic and therapeutic challenge.

    abstract:OBJECTIVE:We describe a case of Cushing's syndrome due to ectopic ACTH secretion, where the only potential source on conventional imaging was a tiny benign-appearing lung nodule, which failed to take up radiolabelled octreotide. DESIGN AND METHODS:To determine whether the patient might respond to therapeutic administr...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-008-0171-x

    authors: McDermott JH,Thabit H,Hickey N,Thompson C,Gaffney E,Young V,Sreenan S

    更新日期:2008-09-01 00:00:00

  • Long term efficacy of a pen injector.

    abstract::We assessed the long term efficacy of Novopen as a form of insulin administration. Records were obtained on 48 patients who were treated with Novopen between January '86 and October '88. Six patients were excluded due to insufficient data. The study group of 42 patients comprised 22 females and 20 males of average age...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02948414

    authors: Dinneen SF,Cronin CC,O'Sullivan DJ

    更新日期:1991-09-01 00:00:00

  • Longitudinal study of neuropathic pain in patients with Guillain-Barré syndrome.

    abstract:OBJECTIVE:The aim of this study was to analyze neuropathic pain (NeP) and its therapy in patients with Guillain-Barré syndrome (GBS) during a 6-month follow-up period. METHOD:This longitudinal multicenter study included 69 newly diagnosed adult GBS patients. NeP diagnosis was based on the criteria of Finnerup and conf...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02395-0

    authors: Vukojevic Z,Berisavac I,Bozovic I,Dominovic-Kovacevic A,Lavrnic D,Peric S

    更新日期:2020-10-15 00:00:00

  • How safe is internal iliac artery embolisation prior to EVAR? A 10-year retrospective review.

    abstract:PURPOSE:Internal iliac artery (IIA) embolisation is commonly performed prior to endovascular aneurysm repair (EVAR) of aortoiliac aneurysms to prevent type 2 endoleaks via the internal iliac arteries. The safety of this procedure is controversial due to the high incidence of pelvic ischaemic complications. METHODS:We ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-015-1384-4

    authors: McGarry JG,Alenezi AO,McGrath FP,Given MF,Keeling AN,Moneley DS,Leahy AL,Lee MJ

    更新日期:2016-11-01 00:00:00

  • The association between the development of weighing technology, possession and use of weighing scales, and self-reported severity of disordered eating.

    abstract::The aim of this study is to investigate David Healy's hypothesis that the development of weighing technologies significantly contributes to the development of anorexia nervosa. A newly developed questionnaire and the EAT-26 were used to investigate these ideas. The key results from this study are that a positive corre...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-1047-2

    authors: Walsh DJ,Charlton BG

    更新日期:2014-09-01 00:00:00

  • Effect of unilateral posterior crossbite and unilateral cleft lip and palate on vertical mandibular asymmetry.

    abstract:OBJECTIVE:Evaluate condylar, ramal, and condylar plus ramal vertical mandibular asymmetry in patients with unilateral posterior crossbite (UPCB) and in patients with unilateral cleft lip and palate (UCLP) compared with subjects having normal occlusion. DESIGN:This cross-sectional study evaluated panoramic radiographs ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-1020-0

    authors: Abad-Santamaría L,López-de-Andrés A,Jiménez-Trujillo I,Ruíz C,Romero M

    更新日期:2014-09-01 00:00:00

  • Posterior reversible encephalopathy syndrome in pregnancy: a retrospective series of 36 patients from mainland China.

    abstract:BACKGROUND:Posterior reversible encephalopathy syndrome (PRES) is associated with variable predisposing risk factors including preeclampsia and eclampsia since it proposed. However, studies of large case series focusing on pregnancy-related PRES are still limited. We performed a large retrospective study of patients wi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-017-1567-2

    authors: Wen Y,Yang B,Huang Q,Liu Y

    更新日期:2017-08-01 00:00:00

  • Local anaesthesia for inguinal herniorrhaphy--a neglected technique.

    abstract::Ninety-nine inguinal herniorrhaphies were performed under local anaesthetic blockade between 1980 and 1988. This represents 32% of this surgical teams herniorrhaphy operations. A follow-up interview was possible in 82 patients. Satisfaction was expressed by 77 patient (94%) although six of the interviewed patients (7....

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02942128

    authors: Young MR,Humphries WG,Grainger DJ

    更新日期:1994-06-01 00:00:00

  • Machine learning for predicting long-term kidney allograft survival: a scoping review.

    abstract::Supervised machine learning (ML) is a class of algorithms that "learn" from existing input-output pairs, which is gaining popularity in pattern recognition for classification and prediction problems. In this scoping review, we examined the use of supervised ML algorithms for the prediction of long-term allograft survi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-020-02332-1

    authors: Sekercioglu N,Fu R,Kim SJ,Mitsakakis N

    更新日期:2020-08-06 00:00:00