title: Emergency transjugular intrahepatic portosystemic shunt (TIPS) in an infant: a case report.
abstract: Since the first successful report regarding the feasibility of transjugular intrahepatic portosystemic shunt (TIPS) as an alternative to surgical decompression of portal hypertension, this method has been used extensively as a temporizing measure in controlling refractory variceal bleeding before liver transplantation in adults with cirrhosis. There are few reports of TIPS in pediatric patients because variceal bleeding in most of these patients can often be managed conservatively without invasive intervention. Recently, successful use of TIPS to treat complications of portal hypertension has been described in two children ages 10 and 13. To our knowledge, there are no reports of TIPS used in infants under the age of 1 year. The authors report a case in which TIPS was used to successfully control variceal bleeding in a 10-month-old infant before consideration for hepatic transplantation.
authors.affiliation: Department of Surgery, Stanford University Medical Center, Palo Alto, CA 94304-1510, USA.
authors.forename: S
authors.initials: S
authors.lastname: Cao
authors.forename: H
authors.initials: H
authors.lastname: Monge
authors.forename: C
authors.initials: C
authors.lastname: Semba
authors.forename: K L
authors.initials: KL
authors.lastname: Cox
authors.forename: W
authors.initials: W
authors.lastname: Berquist
authors.forename: W
authors.initials: W
authors.lastname: Concepcion
authors.forename: S K
authors.initials: SK
authors.lastname: So
authors.forename: C O
authors.initials: CO
authors.lastname: Esquivel
mesh_terms: D001803:Blood Transfusion; D004630:Emergencies; D004932:Esophageal and Gastric Varices / Q000601:surgery / Q000628:therapy; D006471:Gastrointestinal Hemorrhage / Q000601:surgery / Q000628:therapy; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery; D007223:Infant; D016031:Liver Transplantation; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D012008:Recurrence; D015911:Sclerotherapy; D018805:Sepsis