[Treatment of refractory ascites using a transjugular intrahepatic portosystemic shunt (TIPS). Clinical case].

Abstract:

:Approximately, 10% 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.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Zapata R,Fava M

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

1229-35

issue

10

eissn

0034-9887

issn

0717-6163

journal_volume

127

pub_type

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