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Titolo:
Transjugular intrahepatic portosystemic shunts (TIPS) - A decade later
Autore:
Ong, JP; Sands, M; Younossi, ZM;
Indirizzi:
Cleveland Clin Fdn, Dept Gastroenterol S40, Cleveland, OH 44195 USA Cleveland Clin Fdn Cleveland OH USA 44195 ol S40, Cleveland, OH 44195 USA Cleveland Clin Fdn, Dept Radiol, Cleveland, OH 44195 USA Cleveland Clin Fdn Cleveland OH USA 44195 Radiol, Cleveland, OH 44195 USA
Titolo Testata:
JOURNAL OF CLINICAL GASTROENTEROLOGY
fascicolo: 1, volume: 30, anno: 2000,
pagine: 14 - 28
SICI:
0192-0790(200001)30:1<14:TIPS(->2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
BUDD-CHIARI-SYNDROME; HEPATIC VENOOCCLUSIVE DISEASE; BONE-MARROW TRANSPLANTATION; ACUTE VARICEAL HEMORRHAGE; BLEEDING STOMAL VARICES; PORTAL-SYSTEMIC SHUNT; STENT-SHUNT; REFRACTORY ASCITES; HEPATORENAL-SYNDROME; RANDOMIZED TRIAL;
Keywords:
transjugular intrahepatic portosystemic shunt portal hypertension; variceal bleeding; shunt malfunction; refractory ascites;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
177
Recensione:
Indirizzi per estratti:
Indirizzo: Younossi, ZM Cleveland Clin Fdn, Dept Gastroenterol S40, 9500 Euclid Ave, Cleveland, OH44195 USA Cleveland Clin Fdn 9500 Euclid Ave Cleveland OH USA 44195 USA
Citazione:
J.P. Ong et al., "Transjugular intrahepatic portosystemic shunts (TIPS) - A decade later", J CLIN GAST, 30(1), 2000, pp. 14-28

Abstract

Since the introduction of transjugular intrahepatic portosys-temic shunt (TIPS) 10 years ago, it has been used increasingly in the management nf portal hypertension and its complication TIPS is now considered the procedure of choice for management nf refractory variceal bleeding. Its role in the management of refractory ascites, hepatic hydrothorax, hepatorenal syndrome, and hepatopulmonary syndrome still awaits further prospective studies. The two main complications of TIPS are hepatic encephalopathy and shunt malfunction. Generally, TIPS stenosis or occlusion is a major drawback requiring routine surveillance of TIPS with doppler ultrasound. Venography with balloon dilation of the stent or placement of serial or parallel stents may be required in some cases. Promising modalities of preventing TIPS malfunction (e.g., brachytherapy, covered stents, or anti-platelet derived growth factor) are currently being investigated.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 05:35:47