[Transjugular intrahepatic portosystemic shunt: a new therapy for portal hypertension].
Thirty-five patients with portal hypertension due to liver cirrhosis secondary to chronic viral hepatitis underwent transjuglar intrahepatic portosystemic shunt for the last 3-year period. Shunts were successfully completed in 31 of 35 patients at 89%. Portal vein pressure was markedly reduced on average in the all cases until 6 months after TIPS. The endoscopic findings of varices much improved in 90% of the patients. Long-term patency rates of TIPS were 97% after 4 weeks, 79% after 6 months, 76% after a year and 55% after 2 years, respectively. The authors concluded that TIPS was an effective and reliable means of lowering portal pressure, improving endoscopic findings of varices and controlling of refractory ascites.
Yamada
R
R
Department of Radiology, Osaka City University, Japan.
Koda
Y
Y
Hamuro
M
M
Hayashi
S
S
Nakamura
K
K
Tanihata
H
H
Kimura
S
S
Sato
M
M
D004932:Esophageal and Gastric Varices / Q000473:pathology; D004945:Esophagoscopy; D006801:Humans; D006975:Hypertension, Portal / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D017082:Portal Pressure; D011170:Portasystemic Shunt, Surgical / Q000295:instrumentation / Q000379:methods; D015641:Radiography, Interventional