Emergency transjugular intrahepatic portosystemic shunt prior to liver transplantation |
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Authors: | David M Steventon Deirdre A Kelly Patrick McKiernan Simon P Olliff P R John |
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Institution: | (1) Department of Radiology, Birmingham Children's Hospital NHS Trust, Ladywood Middleway, Birmingham B16 8ET, UK, GB;(2) Liver Unit, Birmingham Children's Hospital NHS Trust, Ladywood Middleway, Birmingham, UK, GB;(3) Department of Radiology, University of Birmingham NHS Trust, Queen Elizabeth Hospital, Birmingham, UK, GB |
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Abstract: | Transjugular intrahepatic portosystemic shunt (TIPSS) is a new development in the management of severe variceal haemorrhage
which has been established in adult patients. We have successfully adapted this technique for children and describe our initial
experience in the case of a 9-year-old boy who presented with acute and chronic liver failure and uncontrollable life-threatening
bleeding from oesophageal and gastric varices, despite intensive medical management including sclerotherapy. A 10-mm TIPSS
was successfully placed with immediate reduction in portal pressure and cessation of variceal bleeding. The patient's condition
stabilised sufficiently for him to undergo liver transplantation 2 days later, at which time the TIPSS was patent.
Received: 8 March 1996 Accepted: 26 March 1996 |
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