Lee, Hae Lim Lee, Sung Won
Published in
Clinical and molecular hepatology
Transjugular intrahepatic portosystemic shunt (TIPS) is an effective interventional procedure to relieve portal hypertension, which is a main mechanism for the development of complications of liver cirrhosis (LC), such as variceal hemorrhage, ascites, and hepatorenal syndrome. However, the high incidence of adverse events after TIPS implementation ...
Facas, João Cruz, Manuel Costa, João Filipe Agostinho, Alfredo Donato, Paulo
Published in
CVIR Endovascular
BackgroundCongenital extrahepatic portosystemic shunts (CEPS) are rare shunts connecting the extrahepatic portal system with the inferior vena cava. Shunt dimensions and the risk of portal hypertension determines the closure strategy. Endovascular treatment is indicated for single stage occlusion of longer length shunts, whereas the remaining shunt...
Tejedor-Tejada, Javier Fuentes-Valenzuela, Esteban García-Pajares, Félix Nájera-Muñoz, Rodrigo Almohalla-Álvarez, Carolina Sánchez-Martín, Fátima Calero-Aguilar, Hermógenes Villacastín-Ruiz, Elena Pintado-Garrido, Rebeca Sánchez-Antolín, Gloria
...
Published in
Gastroenterologia y hepatologia
Transjugular intrahepatic portosystemic shunts (TIPS) are successfully used in the management of portal hypertension (PH)-related complications. Debate surrounds the diameter of the dilation. The aim was to analyse the outcomes of and complications deriving from TIPS in patients with cirrhosis and identify predictors of survival. This was a retrosp...
Haridass, Shoban Keshava, Shyamkumar N.
Published in
Journal of Clinical Imaging Science
We describe a radiological sign, “inside-outside sign,” observed during the cannulation of an expandable contrast-filled tubular structure in the human body. In this optical illusion, a catheter or guidewire appears to be outside the lumen when it is inside the lumen in reality. Knowing this rare optical illusion is essential to avoid mistaking it ...
Yao, Xin Li, Shi-Hui Fu, Li-Rong Tang, Shan-Hong Qin, Jian-Ping
Published in
World Journal of Clinical Cases
BACKGROUND Esophagogastric varices are a common complication of cirrhosis with portal hypertension and endoscopic treatment has been recognized as a primary preventive and therapeutic option for such patients; however, it should be noted that bradyarrhythmia is regarded as one of the contraindications to endoscopic examination. Meanwhile, acute var...
Patel, Ranjan Kumar Chandel, Karamvir Tripathy, Tara Prasad Mukund, Amar
Published in
European journal of radiology
Transjugular intrahepatic portosystemic shunt (TIPS) is created between a hepatic vein (HV) and the portal vein (PV) to alleviate the symptoms of portal hypertension. Despite high procedural success rates, a myriad of complications may occur at every step of TIPS creation. These complications may be attributable to the procedure itself or the shunt...
Vaz, Karl Efthymiou, Marios Vaughan, Rhys Testro, Adam G Lew, Hin-Boon Pu, Leonardo Zorron Cheng Tao Chandran, Sujievvan
Published in
World Journal of Hepatology
Upper gastrointestinal bleeding from oesophageal or gastric varices is an important medical condition in patients with portal hypertension. Despite the emergence of a number of novel endoscopic and radiologic therapies for oesophagogastric varices, controversy exists regarding the indication, timing and modality of therapy. The aim of this review i...
Sinjali, Kiran Bent, Chris
Published in
Radiology Case Reports
Duodenal variceal bleeding is a rare form of variceal bleeding which may be fatal if left untreated. There are no specific guidelines available for their treatment. Medical management, surgical, endoscopic, and interventional radiological procedures have been utilized with varied outcomes. In this case summary we report the successful management of...
Yao, Xin Huang, Shan Zhou, Hao Tang, Shan-Hong Qin, Jian-Ping
Published in
World Journal of Gastroenterology
BACKGROUND As a country with a high burden of hepatitis B, China has about 86 million cases of hepatitis B virus infection, ranking the first in the world. Currently, there are about 390000 deaths due to hepatitis B-related complications such as liver cirrhosis and liver cancer every year. Consequently, how to control portal hypertension, improve l...
Pfisterer, Nikolaus Unger, Lukas W Reiberger, Thomas
Published in
World journal of hepatology
Portal hypertension (PH), a common complication of liver cirrhosis, results in development of esophageal varices. When esophageal varices rupture, they cause significant upper gastrointestinal bleeding with mortality rates up to 20% despite state-of-the-art treatment. Thus, prophylactic measures are of utmost importance to improve outcomes of patie...
