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Diastolic dysfunction is associated with poor survival in patients with cirrhosis with transjugular intrahepatic portosystemic shunt
. Gut 2007;56(6):869-75.
Karrubi's son announced shortly after the first operation last week that his father had undergone a procedure known as TIPS for Transjugular intrahepatic portosystemic shunt
Abbreviations [alpha]SMA: Alpha smooth muscle actin ALT: Alanine aminotransferase AST: Aspartate aminotransferase APRI: Aspartate aminotransferase to platelet ratio index FHVP: Free hepatic vein pressure GGT: Gamma-glutamyl transferase HAI: Histologic activity index HCV: Hepatitis C virus HIV: Human immunodeficiency virus HVPG: Hepatic venous pressure gradient LOXL2: Lysyl oxidase-like 2 MRE: Magnetic resonance elastography NASH: Nonalcoholic steatohepatitis qRT: Quantitative real time RNA: Ribonucleic acid TGF[beta]1: Transforming growth factor beta-1 TIPS: Transjugular intrahepatic portosystemic shunt
WHVP: Wedged hepatic venous pressure VCTE: Vibration-controlled transient elastography.
The patient was evaluated for a transjugular intrahepatic portosystemic shunt
(TIPS) procedure to decrease the pressure in the portal system and thus decrease the likelihood of rebleeding from the mesenteric varices.
The hepatic vein thrombosis was treated with a transjugular intrahepatic portosystemic shunt
(TIPS) and anticoagulation with warfarin was initiated as secondary prevention for further thrombosis.
The patient had an extensive and complex medical history that included non-Hodgkin's lymphoma, now in remission; an illness diagnosed by some as POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, circulating M protein, and skin changes) and by other physicians as Waldenstrom's macroglobulinemia; hepatic cirrhosis with a TIPS procedure (transjugular intrahepatic portosystemic shunt
), a TIPS revision, and at least one episode of hepatic encephalopathy; systemic arterial hypertension; diabetes mellitus; and mild chronic renal insufficiency.
Model of End Stage Liver Disease (MELD) was originally developed to predict 3-month mortality following a transjugular intrahepatic portosystemic shunt
(8) Transjugular intrahepatic portosystemic shunt
(TIPS), selective embolization, or surgical shunt solutions should be considered in cases of recurrent bleeding varices.
Budd Chiari Syndrome: long term effect on outcome with transjugular intrahepatic portosystemic shunt
One patient underwent successful liver transplantation and two patients received a transjugular intrahepatic portosystemic shunt
. Spontaneous bacterial peritonitis was diagnosed in six patients and 34 developed other bacterial infections that required hospitalization.