Document Detail


Clinical experience of transjugular intrahepatic portosystemic shunt (TIPS) and its effects on systemic hemodynamics.
MedLine Citation:
PMID:  15362779     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We performed TIPS (transjugular intrahepatic portosystemic shunt) in patients with intractable esophageal varices accompanied by repeated hematemesis or with refractory ascites for the purpose of portal venous decompression, and successfully obtained complete elimination of esophageal varices or a marked decrease in ascites. While TIPS caused no particular variations in mean blood pressure or heart rate, cardiac output increased markedly on the 2nd and 3rd postoperative days before declining on the 5th postoperative day. Along with this, right atrial pressure, pulmonary arterial pressure and pulmonary capillary wedge pressure also increased transiently. TIPS has the potential to become an established effectual therapy for intractable esophageal varices and refractory ascites. However, careful attention should be paid to its hemodynamic effects, including the occurrence of cardiac failure.
Authors:
Yoshihiko Naritaka; Kenji Ogawa; Takeshi Shimakawa; Yoshihisa Wagatsuma; Soichi Konno; Takao Katsube; Kanako Hamaguchi; Toshihiko Hosokawa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  51     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2004 Sep-Oct
Date Detail:
Created Date:  2004-09-14     Completed Date:  2004-10-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  1470-2     Citation Subset:  IM    
Affiliation:
Department of Surgery, Tokyo Women's Medical University Daini Hospital, Japan. narisu@dnh.twmu.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Esophageal and Gastric Varices / physiopathology,  surgery*
Follow-Up Studies
Heart Failure / diagnosis,  physiopathology
Hemodynamics / physiology*
Humans
Liver Cirrhosis / physiopathology,  surgery*
Male
Middle Aged
Portasystemic Shunt, Transjugular Intrahepatic*
Postoperative Complications / physiopathology*
Risk Factors
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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