Percutaneous transjugular intrahepatic stent shunt for treatment of intractable varicose bleeding in paediatric patients
| Autor: | H. Berger, F. Bugnon, P. Goffette, W. Steiner, M. Strobelt, A. Flemmer, J. de Ville de Goyet, P. Clapuyt, J. P. Otte, J. P. Buts, E. M. Sokal |
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| Rok vydání: | 1994 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous medicine.medical_treatment Liver transplantation Varicose Veins Esophagus Varicose veins Ascites medicine Humans Portasystemic Shunt Surgical Child business.industry Stomach Stent medicine.disease Surgery Pediatrics Perinatology and Child Health Portal hypertension Female Stents Radiology Liver function medicine.symptom Gastrointestinal Hemorrhage Varices business |
| Zdroj: | European Journal of Pediatrics. 153:721-725 |
| ISSN: | 1432-1076 0340-6199 |
| Popis: | Two 10-year and 11-year-old children with oesophageal and gastric varicose haemorrhage unresponsive to medical treatment and repeated endoscopic sclerotherapy underwent percutaneous transjugular intrahepatic portosystemic shunting (TIPSS). A newly developed introducing system was used. The procedure was performed to avoid the increased risk of emergency liver transplantation in children with hepatic failure. Immediately after the procedure bleeding stopped and the patient's condition improved. Ascites disappeared and liver function improved. The stent shunt was shown to be patent by angiography and Doppler ultrasound for a follow up period of more than 1 year. CONCLUSION: TIPSS may be of benefit in children with severe portal hypertension. It allows control of intractable bleeding, and stabilizes the patients preparing them for subsequent elective orthotopic liver transplantation. |
| Databáze: | OpenAIRE |
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