title: Sequential treatment of hepatorenal syndrome and posthepatic cirrhosis by intrahepatic portosystemic shunt (TIPSS) and liver transplantation.
abstract: The results of liver transplantation are compromised in cirrhotic patients presenting with renal insufficiency from hepatorenal syndrome. A case of cirrhosis and hepatorenal syndrome, treated sequentially with transjugular intrahepatic porto-systemic stent shunting (TIPSS) and liver transplantation, is discussed. TIPSS may be useful for correcting renal dysfunction and/or hepatorenal syndrome in end-stage cirrhotics, thus permitting subsequent elective liver transplantation under good conditions.
authors.affiliation: Department of Digestive Surgery, University Hospitals St.Luc, Catholic University Louvain, Brussels, Belgium.
authors.forename: J
authors.initials: J
authors.lastname: Lerut
authors.forename: P
authors.initials: P
authors.lastname: Goffette
authors.forename: P F
authors.initials: PF
authors.lastname: Laterre
authors.forename: M
authors.initials: M
authors.lastname: Donataccio
authors.forename: M S
authors.initials: MS
authors.lastname: Reynaert
authors.forename: J B
authors.initials: JB
authors.lastname: Otte
mesh_terms: D000328:Adult; D005260:Female; D006530:Hepatorenal Syndrome / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D008103:Liver Cirrhosis / Q000453:epidemiology / Q000601:surgery*; D016031:Liver Transplantation; D011170:Portasystemic Shunt, Surgical; D012307:Risk Factors