title: Transjugular Intrahepatic Portosystemic Shunt Prior to Endoscopic Mucosal Resection for Barrett's Esophagus in the Setting of Varices.
abstract: Patients with Barrett's esophagus (BE) and cirrhosis who develop high-grade dysplasia (HGD) or adenocarcinoma in the setting of esophageal varices present a unique therapeutic dilemma. There is limited literature regarding the optimal management of varices prior to invasive procedures or surgery involving the distal esophagus. We present a case of variceal decompression with a transjugular intrahepatic portosystemic shunt (TIPS) allowing for successful endoscopic mucosal resection (EMR) of BE with HGD overlying esophageal varices.
authors.affiliation: Department of Internal Medicine, Oregon Health & Science University, Portland, OR.
authors.forename: Meghan
authors.initials: M
authors.lastname: NeSmith
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology and Hepatology, Oregon Health & Science University, Portland, OR.
authors.forename: Janice
authors.initials: J
authors.lastname: Jou
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology and Hepatology, Oregon Health & Science University, Portland, OR.
authors.forename: M Brian
authors.initials: MB
authors.lastname: Fennerty
authors.affiliation: Dotter Interventional Institute, Oregon Health & Science University, Portland, OR.
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Kolbeck
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology and Hepatology, Oregon Health & Science University, Portland, OR.
authors.forename: Brent
authors.initials: B
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology and Hepatology, Oregon Health & Science University, Portland, OR.
authors.forename: Joseph
authors.initials: J
authors.lastname: Ahn