title: Budd-Chiari syndrome: intractable ascites managed by a trans-hepatic portacaval shunt.
abstract: Transjugular intrahepatic portosystemic shunts (TIPS) have recently been used to manage the portal hypertensive complications of the Budd-Chiari syndrome. We report this application of TIPS (to our knowledge the first such application in Australia) in a young man with an excellent result and no major complications. This treatment offers an alternative to portacaval shunt surgery and has the advantage of bypassing a stenosed or compressed inferior vena cava. Additionally, the procedure does not complicate liver transplantation surgery if this is indicated at a later date.
authors.affiliation: University of Melbourne, Department of Gastroenterology, Victoria, Australia.
authors.forename: A
authors.initials: A
authors.lastname: Nicoll
authors.forename: G
authors.initials: G
authors.lastname: Fitt
authors.forename: P
authors.initials: P
authors.lastname: Angus
authors.forename: R
authors.initials: R
authors.lastname: Sewell
authors.forename: O
authors.initials: O
authors.lastname: Hennessy
mesh_terms: D000328:Adult; D001201:Ascites / Q000209:etiology / Q000601:surgery*; D006502:Budd-Chiari Syndrome / Q000150:complications / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery*; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic