TITLE

Transjugular Intrahepatic Portosystemic Shunt for Bleeding Stomal Varices Associated With Chronic Portal Vein Occlusion: Long-Term Angiographic, Hemodynamic, and Clinical Follow-Up

AUTHOR(S)
Morris, Christopher S.; Najarian, Kenneth E.
PUB. DATE
October 2000
SOURCE
American Journal of Gastroenterology;Oct2000, Vol. 95 Issue 10, p2966
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The efficacy of the transjugular intrahepatic portosystemic shunt procedure (TIPS) in controlling refractory hemorrhage from stomal varices at the mucocutaneous junction has been previously described, but the durability of this procedure for this indication is unknown. Conservative therapy may be unsuccessful in preventing recurrent hemorrhage. Some authors believe that portosystemic shunting is the treatment of choice for patients with bleeding stomal varices who are good surgical candidates, because of the low incidence of recurrent bleeding and the longest survival. We report the 39-month angiographic and hemodynamic follow-up, and the 48-month clinical follow-up of a patient with refractory hemorrhage from stomal varices and coexistent chronic portal vein occlusion successfully treated with a TIPS procedure.
ACCESSION #
17624320

 

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