Transjugular intrahepatic porto-systemic shunt in bleeding esophageal varices and refractory ascites. The first 4 years experience in Assiut University Hospital

The Egyptian Journal of Radiology and Nuclear Medicine

Hany Mohammed Abdel Hakeem Seif¹  Saad Zaky²  Mohammed Zakaria Abu Rahma²  Youssef Mohammed Swifee² 

[1] Department of Radiology, Assiut University Hospital, Faculty of Medicine, Assiut Post Code: 71517, Egypt;Department of Tropical Medicine and Gastroenterology, Assiut University Hospital, Assiut, Egypt;

关键词: TIPSS;    Esophageal varices;    Refractory ascites;   

DOI  :  10.1016/j.ejrnm.2016.05.016

来源: DOAJ

【 摘 要 】

Aim: To evaluate our first four years experience with 71 cases of TIPSS procedures performed in Assiut University Hospital. Patients and methods: Between February 2011 and April 2015, seventy-one patients who underwent TIPSS procedure in Assiut University Hospital were included in this study. The patients were selected among those suffering from refractory hepatic ascites and/or recurrent hematemesis due to variceal bleeding. Follow-up duration of our patients ranged from 3 to 34 months (mean 15.8). Results: The mean age of the patients was 47 ± 10.7 years. The technical success rate was 83%. Seventy-five percent of patients with refractory ascites improved after TIPSS. Reduction of variceal size occurred in 84.6% of patients. The 3 months mortality rate was 8%. Conclusion: Proper pre-procedural investigations and patients selection are mandatory for practicing TIPSS. BCS is a common cause of technical and clinical failure of TIPSS, so practicing TIPSS in BCS should be reserved for experts.

【 授权许可】

Unknown