Mesocaval shunt as an alternative treatment for persistent ascites after liver transplantation: case reports.
Refractory ascites after liver transplantation is a relatively rare complication. If the initial medical treatment fails, more invasive techniques may be required. The TIPS procedure has emerged as a major treatment option for decompression of the portal venous system. Mesocaval shunt can be an alternative to TIPS in selected cases. We describe two patients who underwent mesocaval shunt construction for refractory ascites.
Taner
C B
CB
Department of Transplantation, Division of Transplant Surgery, Mayo Clinic, Jacksonville, Florida, USA.
Nguyen
J H
JH
D000328:Adult; D001201:Ascites / Q000601:surgery*; D005260:Female; D006526:Hepatitis C / Q000601:surgery; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery / Q000821:virology; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011170:Portasystemic Shunt, Surgical / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery; D016896:Treatment Outcome