title: Transjugular intrahepatic portosystemic shunt for treatment of cirrhosis-related chylothorax and chylous ascites: single-institution retrospective experience.
abstract: OBJECTIVE
  To investigate the efficacy and safety of the use of transjugular intrahepatic portosystemic shunt (TIPS) creation to treat cirrhosis-related chylous collections (chylothorax and chylous ascites).
  
  
  METHODS
  We retrospectively reviewed data from four patients treated for refractory cirrhosis-related chylous collections with TIPS at our institution over an 8 year period.
  
  
  RESULTS
  One patient had chylothorax, and three patients had concomitant chylothorax and chylous ascites. There were no major complications, and the only procedure-related complications occurred in two patients who had mild, treatable hepatic encephalopathy. All patients had improvement as defined by decreased need for thoracentesis or paracentesis, with postprocedure follow-up ranging from 19 to 491 days.
  
  
  CONCLUSIONS
  TIPS is a safe procedure that is effective in the treatment of cirrhosis-related chylous collections.
authors.affiliation: Department of Radiology, University of California San Diego Health Sciences, 200 West Arbor Drive, San Diego, CA 92103-8756, USA. skikolski@ucsd.edu
authors.forename: Steven G
authors.initials: SG
authors.lastname: Kikolski
authors.forename: Hamed
authors.initials: H
authors.lastname: Aryafar
authors.forename: Steven C
authors.initials: SC
authors.lastname: Rose
authors.forename: Anne C
authors.initials: AC
authors.lastname: Roberts
authors.forename: Thomas B
authors.initials: TB
authors.lastname: Kinney
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002916:Chylothorax / Q000209:etiology / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D002915:Chylous Ascites / Q000209:etiology / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D058625:End Stage Liver Disease / Q000150:complications / Q000175:diagnosis / Q000401:mortality; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications* / Q000175:diagnosis / Q000401:mortality; D008297:Male; D008875:Middle Aged; D019152:Paracentesis / Q000379:methods; D061214:Patient Safety; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000401:mortality / Q000503:physiopathology; D012189:Retrospective Studies; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D015996:Survival Rate; D016896:Treatment Outcome