title: Biliary Obstruction following Transjugular Intrahepatic Portosystemic Shunt Creation in Patients with Variceal Bleeding.
abstract: This report describes an unusual complication after creation of a transjugular intrahepatic portosystemic shunt (TIPS). Biliary obstruction developed in two patients with portal hypertension accompanied by portal vein thrombosis, one patient with and the other without portal cavernous transformation. The biliary obstruction was thought to be secondary to compression of the bile duct by the stent graft placed in the TIPS. Awareness of this possible complication is important for its early diagnosis.
authors.affiliation: Department of General Surgery Jinling Hospital, Medical School of Nanjing University, Zhongshan Road, Nanjing 210002, Jiangsu Province, China.
authors.forename: Jiaxiang
authors.initials: J
authors.lastname: Meng
authors.affiliation: Department of General Surgery Jinling Hospital, Medical School of Nanjing University, Zhongshan Road, Nanjing 210002, Jiangsu Province, China.
authors.forename: Shuofei
authors.initials: S
authors.lastname: Yang
authors.affiliation: Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Zhongshan Road, Nanjing 210002, Jiangsu Province, China.
authors.forename: Weiwei
authors.initials: W
authors.lastname: Ding
authors.affiliation: Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Zhongshan Road, Nanjing 210002, Jiangsu Province, China.
authors.forename: Changsheng
authors.initials: C
authors.lastname: He
authors.affiliation: Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Zhongshan Road, Nanjing 210002, Jiangsu Province, China. Electronic address: bbmctsg@163.com.
authors.forename: Xingjiang
authors.initials: X
authors.lastname: Wu
mesh_terms: D000328:Adult; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D002779:Cholestasis / Q000000981:diagnostic imaging / Q000209:etiology*; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology; D008103:Liver Cirrhosis / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects* / Q000295:instrumentation; D011474:Prosthesis Design; D012189:Retrospective Studies; D015607:Stents; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000209:etiology