J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 3346KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 97(1): 83-88, 1996

Feature topic

TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT :
A NEW THERAPY FOR PORTAL HYPERTENSION

1) Department of Radiology, Osaka City University School of Medicine, Osaka, Japan
2) Department of Radiology, Wakayama Medical College, Wakayama, Japan

Ryusaku Yamada1), Youichi Koda1), Masao Hamuro1), Shyosei Hayashi1), Kenji Nakamura1), Hirohiko Tanihata2), Seiji Kimura2), Morio Sato2)

Thirty-five patients with portal hypertension due to liver cirrhosis secondary to chronic viral hepatitis underwent transluglar intrahepatic portosystemic shunt for the last 3-year period.
Shunts were successfully completed in 31 of 35 patients at 89％. Portal vein pressure was markedly reduced on average in the all cases until 6 months after TIPS. The endoscopic findings of varices much improved in 90％ of the patients. Long-term patency rates of TIPS were 97％ after 4 weeks, 79％ after 6 months, 76％ after a year and 55％ after 2 years, respectively.
The authors concluded that TIPS was an effective and reliable means of lowering portal pressure, improving endoscopic findings of varices and controlling of refractory ascites.

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