The preoperative placement of transjugular intrahepatic portosystemic shunt for treatment of a patient with portal hypertension and gastric cancer.
The case report describes the placement of a TIPSS preceding surgery of the upper gastrointestinal tract in a patient with liver cirrhosis and gastric carcinoma. Following two unsuccessful exploratory laparotomies, the decreased portal hypertension facilitated a curative resection of the tumor.
Surgical Department, Diakonie Hospital Mannheim, Mannheim, Germany. b.rumstadt@diako-ma.de
Bernhard
B
Rumstadt
Dieter
D
Schilling
D000230:Adenocarcinoma / Q000453:epidemiology / Q000601:surgery*; D015897:Comorbidity; D017809:Fatal Outcome; D005743:Gastrectomy; D006801:Humans; D006975:Hypertension, Portal / Q000453:epidemiology / Q000601:surgery*; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications / Q000453:epidemiology; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011300:Preoperative Care; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000453:epidemiology / Q000601:surgery*