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| Evaluation of emergency transjugular intrahepatic portosystemic shunt in the treatment of variceal bleeding in liver cirrhosis |
| MA Yu-jia, GONG Zheng, CHI Yuan, ZHENG Jia-he, LIU Zhao-yu, GUO Qi-yong |
| Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China |
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Abstract Objective: To investigate the safety and efficacy of emergency transjugular intrahepatic portosystemic shunt(TIPS) in the treatment of esophageal and gastric variceal bleeding(EGVB) in liver cirrhosis and portal hypertension. Methods: The clinical data of 14 EVGB patients with liver cirrhosis and portal hypertension who undergoing emergency TIPS were retrospectively analyzed. The haemostasis, hepatic vein pressure gradient(HVPG), liver function, complications, rebleeding and in-stent occlusion were observed. The paired-samples t-test was performed for measurement data. Results: All emergency TIPS of the 14 patients were successful. There was no perioprative serious complication. The HVPG dropped from (38.9±9.0) cm H2O to (19.1±7.0) cm H2O(P<0.001). There was no significant difference in liver function between before and after operation. The bleeding stopped in 72 hours after operation in all patients． There was no rebleeding occurred during 3~12 months followed-up, one patient died of perforation of stomach, one patient underwent liver transplantation, and 2 patients had mild hepatic encephalopathy. There was none in-stent occlusion assessed by ultrasound and computed tomography during follwed-up. Conclusion: The emergency TIPS is safe and effective in the treatment of acute EGVB in cirrhotic patients with portal hypertension．
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Received: 28 February 2017
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