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
em Es
| LILACS
| ID: lil-255306
Biblioteca responsável:
CL1.1
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
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Ascite
/
Derivação Portossistêmica Transjugular Intra-Hepática
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
1999
Tipo de documento:
Article