Mesocaval Shunt Creation for Jejunal Variceal Bleeding with Chronic Portal Vein Thrombosis
10.3349/ymj.2018.59.1.162
- Author:
Ja Kyung YOON
1
;
Man Deuk KIM
;
Do Yun LEE
;
Seok Joo HAN
Author Information
1. Department of Radiology, Severance Hospital, Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul, Korea. mdkim@yuhs.ac
- Publication Type:Case Report
- Keywords:
Portal hypertension;
gastrointestinal hemorrhage;
thrombosis;
transjugular intrahepatic portosystemic shunt (TIPS);
mesocaval;
shunt
- MeSH:
Adolescent;
Chronic Disease;
Esophageal and Gastric Varices/complications;
Esophageal and Gastric Varices/diagnostic imaging;
Esophageal and Gastric Varices/therapy;
Female;
Gastrointestinal Hemorrhage/complications;
Gastrointestinal Hemorrhage/diagnostic imaging;
Gastrointestinal Hemorrhage/therapy;
Humans;
Jejunum/pathology;
Portacaval Shunt, Surgical;
Portal Vein/diagnostic imaging;
Portal Vein/pathology;
Portal Vein/surgery;
Tomography, X-Ray Computed;
Treatment Outcome;
Venous Thrombosis/complications;
Venous Thrombosis/diagnostic imaging;
Venous Thrombosis/therapy
- From:Yonsei Medical Journal
2018;59(1):162-166
- CountryRepublic of Korea
- Language:English
-
Abstract:
The creation of transjugular intrahepatic portosystemic shunt (TIPS) is a widely performed technique to relieve portal hypertension, and to manage recurrent variceal bleeding and refractory ascites in patients where medical and/or endoscopic treatments have failed. However, portosystemic shunt creation can be challenging in the presence of chronic portal vein occlusion. In this case report, we describe a minimally invasive endovascular mesocaval shunt creation with transsplenic approach for the management of recurrent variceal bleeding in a portal hypertension patient with intra- and extrahepatic portal vein occlusion.
