title: [Trans-jugular intrahepatic portosystemic stent-shunt (TIPS) in a patient with Budd-Chiari syndrome].
abstract: The surgical modalities for the management of Budd-Chiari syndrome are associated with high morbidity and mortality. The clinical course of a patient with subacute Budd-Chiari syndrome and a myeloproliferative disorder is described in whom, to reduce the portal hypertension, a transjugular intrahepatic portosystemic stent-shunt (TIPS) was implanted. TIPS is a new, still experimental procedure for the treatment of patients with portal hypertension which is used mainly for patients with recurrent variceal bleeding. An intrahepatic metal wire stent connects a main branch of the portal vein with a large hepatic vein and reduces the portal venous pressure as a side-to-side portosystemic shunt. In the patient described here the implantation of a TIPS was followed by rapid reduction of ascites production and a continuing general improvement.
authors.affiliation: Departement für Innere Medizin, Universitätsspital Zürich.
authors.forename: E
authors.initials: E
authors.lastname: Walter
authors.forename: J
authors.initials: J
authors.lastname: Muntwyler
authors.forename: P
authors.initials: P
authors.lastname: Bertschinger
authors.forename: R
authors.initials: R
authors.lastname: Flury
authors.forename: A
authors.initials: A
authors.lastname: Ochs
authors.forename: K
authors.initials: K
authors.lastname: Haag
authors.forename: M
authors.initials: M
authors.lastname: Rössle
authors.forename: H E
authors.initials: HE
authors.lastname: Blum
mesh_terms: D000328:Adult; D000792:Angiography; D006502:Budd-Chiari Syndrome / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D002408:Catheters, Indwelling; D006801:Humans; D008297:Male; D009196:Myeloproliferative Disorders / Q000150:complications; D011170:Portasystemic Shunt, Surgical / Q000379:methods*; D015607:Stents; D014463:Ultrasonography
vernacular_title: Transjugulärer intrahepatischer portosystemischer Stent-Shunt (TIPS) bei einem Patienten mit Budd-Chiari-Syndrom.