Evaluation of upper endoscopic findings before and after Transjugular Intrahepatic Portosystemic Shunt in Egyptian Patients with Budd-Chiari Syndrome

Autor: Mohamed A. Sakr, Hend E. Ebada, Ahmed S. Abdelmoaty, Mohamed E. Aboelmaaty
Rok vydání: 2020
Předmět:
Zdroj: Afro-Egyptian Journal of Infectious and Endemic Diseases.
ISSN: 2090-7184
DOI: 10.21608/aeji.2020.45994.1107
Popis: Background and study aim: Successful transjugular intrahepatic portosystemic shunt (TIPS) insertion effectively lowers the portosystemic pressure gradient, resolves ascites and improves esophageal varices, we studied the effect of TIPS on the grades of gastroesophageal varices and portal hypertensive gastropathy (PHG) in Egyptian patients with Budd-Chiari Syndrome (BCS). Patients and Methods: This prospective study was conducted at the Tropical Medicine Department; Ain Shams University on 20 patients with confirmed BCS with esophageal, gastric varices and PHG. Upper GI endoscopy was conducted before TIPS. Patients were followed up by upper GIT endoscopy at one and six months after TIPS. Results: After TIPS, there was a highly significant improvement of portal pressure, (before TIPS: Mean ±SD =24.9±1.9; after TIPS: 8.3±1.5, p-value
Databáze: OpenAIRE