|
|||||
|
|
| TIPSS for variceal hemorrhage after living related liver transplantation： A dangerous indication | |
| 作者姓名： | Schemmer P Radeleff B Flechtenmacher C Mehrabi A Richter GM Buchler MW Schmidt J |
| 作者单位： | Department of General Surgery Ruprecht-KarlsUniversity,69120 Heidelberg,Germany Department of Radiology,Ruprecht-Karls-University,69120 Heidelberg,Germany Department of Pathology,RuprechtKarls-University,69120 Heidelberg,Germany,Department of General Surgery,Ruprecht-KarlsUniversity,69120 Heidelberg,Germany Department of Radiology,Ruprecht-Karls-University,69120 Heidelberg,Germany Department of Pathology,RuprechtKarls-University,69120 Heidelberg,Germany,Department of General Surgery,Ruprecht-KarlsUniversity,69120 Heidelberg,Germany Department of Radiology,Ruprecht-Karls-University,69120 Heidelberg,Germany Department of Pathology,RuprechtKarls-University,69120 Heidelberg,Germany,Department of General Surgery,Ruprecht-KarlsUniversity,69120 Heidelberg,Germany Department of Radiology,Ruprecht-Karls-University,69120 Heidelberg,Germany Department of Pathology,RuprechtKarls-University,69120 Heidelberg,Germany,Department of General Surgery,Ruprecht-KarlsUniversity,69120 Heidelberg,Germany Department of Radiology,Ruprecht-Karls-University,69120 Heidelberg,Germany Department of Pathology,RuprechtKarls-University,69120 Heidelberg,Germany,Department of General Surgery,Ruprecht-KarlsUniversity,69120 Heidelberg,Germany Department of Radiology,Ruprecht-Karls-University,69120 Heidelberg,Germany Department of Pathology,RuprechtKarls-University,69120 Heidelberg,Germany,Department of General Surgery,Ruprecht-KarlsUniversity,69120 Heidelberg,Germany Department of Radiology,Ruprecht-Karls-University,69120 Heidelberg,Germany Department of Pathology,RuprechtKarls-University,69120 Heidelberg,Germany |
| 摘 要： | The introduction of transjugular intrahepatic portal-systemic stent-shunt(TIPSS)has been a majorbreakthrough in the treatment of portal hypertension,which has evolved to a large extent,into a routineprocedure.A 21-year-old male patient with progressivegraft fibrosis/cirrhosis requiring TIPSS for varicealhemorrhage in the esophagus due to portal hypertensionwas unresponsive to conventional measures twoyears after living related liver transplantation(LDLT).Subsequently,variceal hemorrhage was controlled,however,liver function decreased dramatically withconsecutive multi organ failure.CT scan revealedsubstantial necrosis in the liver.The patient underwentsuccessful"high urgent"cadaveric liver transplantationand was discharged on postoperative d 20 in a stablecondition. |
| 关 键 词： | 静脉曲张出血 肝移植 适应症 高血压 |
| 收稿时间： | 2005 Jul 15 |
TIPSS for variceal hemorrhage after living related liver transplantation: a dangerous indication |
|
| Schemmer P,Radeleff B,Flechtenmacher C,Mehrabi A,Richter GM,Buchler MW,Schmidt J.TIPSS for variceal hemorrhage after living related liver transplantation: a dangerous indication[J].World Journal of Gastroenterology,2006,12(3):493-495. | |
| Authors: | Schemmer Peter Radeleff Boris Flechtenmacher Christa Mehrabi Arianeb Richter Gotz M Buchler Markus W Schmidt Jan |
| Institution: | 1. Department of General Surgery, Ruprecht-KarlsUniversity, 69120 Heidelberg, Germany 2. Department of Radiology,Ruprecht-Karls-University, 69120 Heidelberg, Germany 3. Department of Pathology, Ruprecht Karls-University, 69120 Heidelberg, Germany |
| Abstract: | The introduction of transjugular intrahepatic portal- systemic stent-shunt(TIPSS)has been a major breakthrough in the treatment of portal hypertension, which has evolved to a large extent,into a routine procedure.A 21-year-old male patient with progressive graft fibrosis/cirrhosis requiring TIPSS for variceal hemorrhage in the esophagus due to portal hypertension was unresponsive to conventional measures two years after living related liver transplantation(LDLT). Subsequently,variceal hemorrhage was controlled, however,liver function decreased dramatically with consecutive multi organ failure.CT scan revealed substantial necrosis in the liver.The patient underwent successful"high urgent"cadaveric liver transplantation and was discharged on postoperative d 20 in a stable condition. |
| Keywords: | Portal hypertension Liver necrosis Fibrosis Cirrhosis |
| 本文献已被 CNKI 维普 万方数据 PubMed 等数据库收录！ | |