Tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica.: Caso clínico

Tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica.: Caso clínico

Approximately, 10% of cirrhotic patients with ascites become refractory to medical treatment, a condition that reduces overall survival. TIPS is a therapeutic alternative for the management of refractory ascites. It corrects sinusoidal portal hypertension, becoming a rational and relatively safe the...

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Autores principales: Zapata L,Rodrigo, Fava P,Mario
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 1999
Materias:
Ascitic Fluid
Hepatic Encephalopathy
Liver Cirrhosis
Liver Circulation
Portacanal Shunt
Portal System
Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001000011
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spelling oai:scielo:S0034-988719990010000112000-03-10Tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica.: Caso clínicoZapata L,RodrigoFava P,Mario Ascitic Fluid Hepatic Encephalopathy Liver Cirrhosis Liver Circulation Portacanal Shunt Portal System Approximately, 10% of cirrhotic patients with ascites become refractory to medical treatment, a condition that reduces overall survival. TIPS is a therapeutic alternative for the management of refractory ascites. It corrects sinusoidal portal hypertension, becoming a rational and relatively safe therapeutic approach. The most frequent complications of TIPS are the development of hepatic encephalopathy and a high incidence of shunt stenosis or occlusion after one year of follow-up. We report a 43 years old alcoholic cirrhotic male with ascites refractory to medical treatment, that required multiple large volume paracentesis, whose clinical condition deteriorated progressively. A TIPS was successfully placed with a rapid and complete resolution of ascites and marked improvement of his clinical condition. During the ensuing six months the patient remained in excellent conditions, but was lost from follow-up and resumed excessive alcohol intake. Eight months after TIPS placement he had an upper gastrointestinal bleeding and died.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.127 n.10 19991999-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001000011es10.4067/S0034-98871999001000011
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Ascitic Fluid
Hepatic Encephalopathy
Liver Cirrhosis
Liver Circulation
Portacanal Shunt
Portal System
spellingShingle Ascitic Fluid
Hepatic Encephalopathy
Liver Cirrhosis
Liver Circulation
Portacanal Shunt
Portal System
Zapata L,Rodrigo
Fava P,Mario
Tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica.: Caso clínico
description Approximately, 10% of cirrhotic patients with ascites become refractory to medical treatment, a condition that reduces overall survival. TIPS is a therapeutic alternative for the management of refractory ascites. It corrects sinusoidal portal hypertension, becoming a rational and relatively safe therapeutic approach. The most frequent complications of TIPS are the development of hepatic encephalopathy and a high incidence of shunt stenosis or occlusion after one year of follow-up. We report a 43 years old alcoholic cirrhotic male with ascites refractory to medical treatment, that required multiple large volume paracentesis, whose clinical condition deteriorated progressively. A TIPS was successfully placed with a rapid and complete resolution of ascites and marked improvement of his clinical condition. During the ensuing six months the patient remained in excellent conditions, but was lost from follow-up and resumed excessive alcohol intake. Eight months after TIPS placement he had an upper gastrointestinal bleeding and died.
author Zapata L,Rodrigo
Fava P,Mario
author_facet Zapata L,Rodrigo
Fava P,Mario
author_sort Zapata L,Rodrigo
title Tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica.: Caso clínico
title_short Tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica.: Caso clínico
title_full Tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica.: Caso clínico
title_fullStr Tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica.: Caso clínico
title_full_unstemmed Tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica.: Caso clínico
title_sort tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica.: caso clínico
publisher Sociedad Médica de Santiago
publishDate 1999
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001000011
work_keys_str_mv AT zapatalrodrigo tratamientodelaascitisrefractariamediantederivaciontransyugularintrahepaticaportosistemicacasoclinico
AT favapmario tratamientodelaascitisrefractariamediantederivaciontransyugularintrahepaticaportosistemicacasoclinico
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