Effectiveness of Transjugular Intrahepatic Portosystemic Shunts
Author Information
Author(s): G. Zemel, B.T. Katzen, G.J. Becker, J.F. Benenati, D.S. Sallee
Primary Institution: University of California
Hypothesis
To determine the effectiveness of the Palmaz balloon expandable stent for the creation of a transjugular intrahepatic portosystemic shunt.
Conclusion
Transjugular intrahepatic portosystemic shunt is a safe and effective method of portal decompression for the treatment of variceal hemorrhage.
Supporting Evidence
- Shunts created lowered the average portosystemic pressure gradient from 36 to 11 mm Hg.
- Complete variceal decompression was identified endoscopically in all eight patients.
- All shunts were patent at 1 to 9 months of follow-up.
Takeaway
Doctors used a special stent to help patients with bleeding problems in their stomachs, and it worked well for everyone in the study.
Methodology
Transjugular intrahepatic portosystemic shunting was performed in eight patients over a 9-month period with a mean follow-up of 5 months.
Limitations
The optimal shunt diameter has not yet been established.
Participant Demographics
All patients had cirrhosis with portal hypertension and varices.
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