Transjugular intrahepatic portosystemic shunt in the therapy of refractory ascites: single center point of view

Česká verzia

Authors: T. Fejfar ¹; V. Šafka ²; V. Jirkovský ¹; T. Vaňásek ¹; Š. Šembera ¹; Miroslav Lojík ³ ; J. Raupach ³; V. Chovanec ³; O. Renc ³; A. Michl ³; J. Žižka ³; A. Krajina ³; P. Hůlek ^1,4
Authors place of work: II. interní gastroenterologická klinika LF UK a FN Hradec Králové ¹; Ústav fyziologie, LF UK Hradec Králové ²; Radiologická klinika FN Hradec Králové ³; Interní klinika LF OU, Ostrava ⁴
Published in the journal: Gastroent Hepatol 2014; 68(2): 124-131
Category: Hepatology: Review article

Summary

Ascites and refractory ascites is one of the most severe complications of portal hypertension and is associated with high mortality. When ascites becomes refractory, liver transplantation, large volume paracentesis with albumin substitution or nonsurgical portocaval shunt creation – transjugular intrahepatic postosystemic shunt (TIPS), are the treatment options. The role of TIPS is still discussed. Temporary view on TIPS role in the therapy of refractory ascites and own experience with the treatment of 361 patients by TIPS in the last 22 years are referred to.

Key words:
portal hypertension – refractory ascites – transjugular intrahepatic – portosystemic shunt

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
1. 3. 2014

Accepted:
7. 4. 2014

Zdroje

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