Percutaneous transjugular intrahepatic stent shunt for treatment of intractable varicose bleeding in paediatric patients

H. Berger, F. Bugnon, P. Goffette, W. Steiner, M. Strobelt, A. Flemmer, J. de Ville de Goyet, P. Clapuyt, J. P. Otte, J. P. Buts, E. M. Sokal

Research output: Contribution to journalArticle

Abstract

Conclusion: TIPSS may be of benefit in children with severe portal hypertension. It allows control of intractable bleeding, and stabilizes the patients preparing them for subsequent elective orthotopic liver transplantation. Two 10-year and 11-year-old children with oesophageal and gastric varicose haemorrhage unresponsive to medical treatment and repeated endoscopic sclerotherapy underwent percutaneous transjugular intrahepatic portosystemic shunting (TIPSS). A newly developed introducing system was used. The procedure was performed to avoid the increased risk of emergency liver transplantation in children with hepatic failure. Immediately after the procedure bleeding stopped and the patient's condition improved. Ascites disappeared and liver function improved. The stent shunt was shown to be patent by angiography and Doppler ultrasound for a follow up period of more than 1 year.

Original languageEnglish
Pages (from-to)721-725
Number of pages5
JournalEuropean Journal of Pediatrics
Volume153
Issue number10
DOIs
Publication statusPublished - Oct 1994

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Keywords

  • Children
  • Liver cirrhosis
  • Orthotopic liver transplantation
  • Transjugular intrahepatic portosystemic stent shunt
  • Varicose bleeding

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Berger, H., Bugnon, F., Goffette, P., Steiner, W., Strobelt, M., Flemmer, A., de Ville de Goyet, J., Clapuyt, P., Otte, J. P., Buts, J. P., & Sokal, E. M. (1994). Percutaneous transjugular intrahepatic stent shunt for treatment of intractable varicose bleeding in paediatric patients. European Journal of Pediatrics, 153(10), 721-725. https://doi.org/10.1007/BF01954487