20 research outputs found

    Transjugular intrahepatic cavoportal shunt for Budd-Chiari syndrome

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    Budd-Chiari syndrome (BCS) is characterized by obstruction of the hepatic venous outflow tract. Therapeutic options for BCS are limited. We report a case of a 21-year-old woman with protein S and C deficiency with gross ascites. Treatment with transjugular intrahepatic portosystemic shunt (TIPS) was attempted, which revealed occluded hepatic veins, so transcaval TIPS was performed. No serious procedure-related complication occurred. After successful shunt creation, the patient\u27s symptoms subsided and she was discharged and followed up for 6 months

    Renal Sodium Retention in Liver Disease

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    In many patients with cirrhosis, salt retention eventually culminates in ascites and edema. The pathogenesis probably involves several hormonal and neural effectors acting in concert. When conservative therapy with diet and diuretics fails to mobilize fluid, options for more intensive treatment include large-volume paracentesis and the transjugular intrahepatic portosystemic shunt
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