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Table of Contents
Vol. 64, No. 4, 2001
Issue release date: 2001
Section title: Case Report
Digestion 2001;64:261–264
(DOI:10.1159/000048871)

The Long-Term Efficacy of the Intrahepatic Portosystemic Shunt (TIPS) for the Treatment of Bleeding Anorectal Varices in Cirrhosis

A Case Report and Review of the Literature

Ory G.a · Spahr L.a · Megevand J.-M.b · Becker C.c · Hadengue A.a
aGastroenterology and Hepatology, bDigestive Surgery, cRadiology, University Hospital, Geneva, Switzerland

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Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: 1/23/2009
Issue release date: 2001

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 1

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: http://www.karger.com/DIG

Abstract

Background: In patients with portal hypertension and variceal hemorrhage, the transjugular intrahepatic portosystemic shunt (TIPS) is indicated when drug therapy or endoscopic treatment fails to control bleeding. Ruptured esophageal or gastric varices are the most frequent causes of portal hypertension-related hemorrhage, but anorectal varices may also bleed. Although several case reports have proposed TIPS in this situation, the long-term results of this procedure have not been described. Methods: We report here the case of a 68-year-old patient with decompensated cirrhosis who presented with recurrent hematochezia due to anorectal varices. Results: A successful control of bleeding could be obtained after placement of TIPS. After 3 years of follow-up, rectal bleeding did not recur, the shunt remained primarily patent, and the patient did not present overt hepatic encephalopathy. Conclusion: TIPS procedure should be considered as an effective treatment of recurrent bleeding from anorectal varices in patients with decompensated cirrhosis.

© 2002 S. Karger AG, Basel


  

Author Contacts

Laurent Spahr, MD
Gastroenterology and Hepatology, University Hospital
24, Rue Micheli-du-Crest
CH–1211 Geneva 14 (Switzerland)
Tel. +41 22 3729340, Fax +41 22 3729366, E-Mail Laurent.Spahr@hcuge.ch

  

Article Information

Received: Received: May 18, 2001
Accepted: August 17, 2001
Number of Print Pages : 4
Number of Figures : 2, Number of Tables : 1, Number of References : 21

  

Publication Details

Digestion (International Journal of Gastroenterology)
Founded as Archiv für Verdauungskrankheiten, 1895; continued as Gastroenterologia, 1939-1967

Vol. 64, No. 4, Year 2001 (Cover Date: 2001)

Journal Editor: R. Arnold, Marburg
ISSN: 0012–2823 (print), 1421–9867 (Online)

For additional information: http://www.karger.com/journals/dig


Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: 1/23/2009
Issue release date: 2001

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 1

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: http://www.karger.com/DIG


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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