title: Transjugular intrahepatic portosystemic stenting in Portal Hypertensive Gastropathy.
abstract: Portal Hypertensive Gastropathy (PHG) is a rare cause of upper gastrointestinal bleeding in patients with Chronic Liver Disease (CLD). This is the case report of a 46-year-old female known case of Hepatitis C Virus (HCV) CLD, who presented with melena and coffee ground vomitings for 6 months. Esophagogastroduodenoscopy (EGD) showed PHG while an ultrasound revealed chronic liver disease. The patient had a history of repeated blood transfusions over the last 6 months. She was given propanolol but no benefit occurred. She was referred for transjugular intrahepatic portosystemic stenting (TIPSS) to an interventional radiologist, which was followed by a reduction in PHG and the need for transfusion.
authors.affiliation: Department of Gastroenterology, Liaquat National Hospital, Karachi. pervez.ashraf@lnh.edu.pk
authors.forename: Pervez
authors.initials: P
authors.lastname: Ashraf
authors.forename: Ghulam Mujtaba
authors.initials: GM
authors.lastname: Shah
authors.forename: Hafeezullah
authors.initials: H
authors.lastname: Shaikh
authors.forename: Abdul
authors.initials: A
authors.lastname: Manan
authors.forename: Mukesh
authors.initials: M
authors.lastname: Kumar
mesh_terms: D004932:Esophageal and Gastric Varices / Q000601:surgery*; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery; D008103:Liver Cirrhosis / Q000000981:diagnostic imaging; D008551:Melena; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000379:methods*; D015607:Stents; D014463:Ultrasonography