DECOMPRESSIONE PORTOSISTEMICA INTRAEPATICA TRANSGIUGULARE PER IL TRATTAMENTO DELLE COMPLICANZE SECONDARIE A IPERTENSIONE PORTALE IN PAZIENTI CON INSUFFICIENZA EPATICA TERMINALE

F. A. Bartoli; A. B. Zajko; L. A. Aldrighetti; P. D. Orons; N. Jabbour; G. D. Dodd; A. G. Tzakis; J. J. Fung

DECOMPRESSIONE PORTOSISTEMICA INTRAEPATICA TRANSGIUGULARE PER IL TRATTAMENTO DELLE COMPLICANZE SECONDARIE A IPERTENSIONE PORTALE IN PAZIENTI CON INSUFFICIENZA EPATICA TERMINALE

Translated title of the contribution: Transjugular intrahepatic portosystemic shunt for the treatment of portal hypertension related complications in patients with end-stage liver disease

F. A. Bartoli, A. B. Zajko, L. A. Aldrighetti, P. D. Orons, N. Jabbour, G. D. Dodd, A. G. Tzakis, J. J. Fung

IRCCS Ospedale San Raffaele

Research output: Contribution to journal › Article › peer-review

Abstract

Sixty-eight cirrhotic patients with portal hypertension underwent transjugular intrahepatic portosystemic shunt (TIPS). The mean follow-up after TIPS was 299 ± 243 days. Using the Child-Pugh score, 11 patients were class A, 39 class B and 18 class C. Indications for TIPS were acute or recurrent variceal bleeding in 67 patients and intractable ascites in the remaining patient. Following TIPS, the mean portosystemic gradient (PSG) dropped from 25 ± 5 to 10 ± 4 mmHg. Non procedure-related bleeding complications occurred. Hepatic encephalopathy developed or worsened in 23/68 patients (34%). The incidence of hepatic encephalopathy was greater in patients achieving a reduction in PSG ≥ 50% of the pre-TIPS value. Recurrent hemorrhage occurred in 15 patients (22%); only in 7 of them (46%) it was due to gastric varices (2 cases) or portal hypertensive gastropathy (5 cases). The incidence of recurrent bleeding was lower in patients with a final PSG

Translated title of the contribution	Transjugular intrahepatic portosystemic shunt for the treatment of portal hypertension related complications in patients with end-stage liver disease
Original language	Italian
Pages (from-to)	335-341
Number of pages	7
Journal	Chirurgia
Volume	8
Issue number	9-10
Publication status	Published - 1995

ASJC Scopus subject areas

Surgery

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DECOMPRESSIONE PORTOSISTEMICA INTRAEPATICA TRANSGIUGULARE PER IL TRATTAMENTO DELLE COMPLICANZE SECONDARIE A IPERTENSIONE PORTALE IN PAZIENTI CON INSUFFICIENZA EPATICA TERMINALE. / Bartoli, F. A.; Zajko, A. B.; Aldrighetti, L. A.; Orons, P. D.; Jabbour, N.; Dodd, G. D.; Tzakis, A. G.; Fung, J. J.

In: Chirurgia, Vol. 8, No. 9-10, 1995, p. 335-341.

Research output: Contribution to journal › Article › peer-review

@article{37309d355c7442f1a398bdc4106d370d,

title = "DECOMPRESSIONE PORTOSISTEMICA INTRAEPATICA TRANSGIUGULARE PER IL TRATTAMENTO DELLE COMPLICANZE SECONDARIE A IPERTENSIONE PORTALE IN PAZIENTI CON INSUFFICIENZA EPATICA TERMINALE",

abstract = "Sixty-eight cirrhotic patients with portal hypertension underwent transjugular intrahepatic portosystemic shunt (TIPS). The mean follow-up after TIPS was 299 ± 243 days. Using the Child-Pugh score, 11 patients were class A, 39 class B and 18 class C. Indications for TIPS were acute or recurrent variceal bleeding in 67 patients and intractable ascites in the remaining patient. Following TIPS, the mean portosystemic gradient (PSG) dropped from 25 ± 5 to 10 ± 4 mmHg. Non procedure-related bleeding complications occurred. Hepatic encephalopathy developed or worsened in 23/68 patients (34%). The incidence of hepatic encephalopathy was greater in patients achieving a reduction in PSG ≥ 50% of the pre-TIPS value. Recurrent hemorrhage occurred in 15 patients (22%); only in 7 of them (46%) it was due to gastric varices (2 cases) or portal hypertensive gastropathy (5 cases). The incidence of recurrent bleeding was lower in patients with a final PSG ",

keywords = "Cirrhosis, Kidney function, Portal hypertension, Transjugular intrahepatic portosystemic shunt, Variceal bleeding",

author = "Bartoli, {F. A.} and Zajko, {A. B.} and Aldrighetti, {L. A.} and Orons, {P. D.} and N. Jabbour and Dodd, {G. D.} and Tzakis, {A. G.} and Fung, {J. J.}",

year = "1995",

language = "Italian",

volume = "8",

pages = "335--341",

journal = "Chirurgia (Turin)",

issn = "0394-9508",

publisher = "Minerva Medica",

number = "9-10",

}

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T1 - DECOMPRESSIONE PORTOSISTEMICA INTRAEPATICA TRANSGIUGULARE PER IL TRATTAMENTO DELLE COMPLICANZE SECONDARIE A IPERTENSIONE PORTALE IN PAZIENTI CON INSUFFICIENZA EPATICA TERMINALE

AU - Bartoli, F. A.

AU - Zajko, A. B.

AU - Aldrighetti, L. A.

AU - Orons, P. D.

AU - Jabbour, N.

AU - Dodd, G. D.

AU - Tzakis, A. G.

AU - Fung, J. J.

PY - 1995

Y1 - 1995

N2 - Sixty-eight cirrhotic patients with portal hypertension underwent transjugular intrahepatic portosystemic shunt (TIPS). The mean follow-up after TIPS was 299 ± 243 days. Using the Child-Pugh score, 11 patients were class A, 39 class B and 18 class C. Indications for TIPS were acute or recurrent variceal bleeding in 67 patients and intractable ascites in the remaining patient. Following TIPS, the mean portosystemic gradient (PSG) dropped from 25 ± 5 to 10 ± 4 mmHg. Non procedure-related bleeding complications occurred. Hepatic encephalopathy developed or worsened in 23/68 patients (34%). The incidence of hepatic encephalopathy was greater in patients achieving a reduction in PSG ≥ 50% of the pre-TIPS value. Recurrent hemorrhage occurred in 15 patients (22%); only in 7 of them (46%) it was due to gastric varices (2 cases) or portal hypertensive gastropathy (5 cases). The incidence of recurrent bleeding was lower in patients with a final PSG

AB - Sixty-eight cirrhotic patients with portal hypertension underwent transjugular intrahepatic portosystemic shunt (TIPS). The mean follow-up after TIPS was 299 ± 243 days. Using the Child-Pugh score, 11 patients were class A, 39 class B and 18 class C. Indications for TIPS were acute or recurrent variceal bleeding in 67 patients and intractable ascites in the remaining patient. Following TIPS, the mean portosystemic gradient (PSG) dropped from 25 ± 5 to 10 ± 4 mmHg. Non procedure-related bleeding complications occurred. Hepatic encephalopathy developed or worsened in 23/68 patients (34%). The incidence of hepatic encephalopathy was greater in patients achieving a reduction in PSG ≥ 50% of the pre-TIPS value. Recurrent hemorrhage occurred in 15 patients (22%); only in 7 of them (46%) it was due to gastric varices (2 cases) or portal hypertensive gastropathy (5 cases). The incidence of recurrent bleeding was lower in patients with a final PSG

KW - Cirrhosis

KW - Kidney function

KW - Portal hypertension

KW - Transjugular intrahepatic portosystemic shunt

KW - Variceal bleeding

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JO - Chirurgia (Turin)

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