| dc.creator | Zapata L,Rodrigo | |
| dc.creator | Fava P,Mario | |
| dc.date | 1999-10-01 | |
| dc.date.accessioned | 2019-09-10T12:38:56Z | |
| dc.date.available | 2019-09-10T12:38:56Z | |
| dc.identifier | https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001000011 | |
| dc.identifier.uri | https://revistaschilenas.uchile.cl/handle/2250/104886 | |
| dc.description | Approximately, 10% of cirrhotic patients with ascites become refractory to medical treatment, a condition that reduces overall survival. TIPS is a therapeutic alternative for the management of refractory ascites. It corrects sinusoidal portal hypertension, becoming a rational and relatively safe therapeutic approach. The most frequent complications of TIPS are the development of hepatic encephalopathy and a high incidence of shunt stenosis or occlusion after one year of follow-up. We report a 43 years old alcoholic cirrhotic male with ascites refractory to medical treatment, that required multiple large volume paracentesis, whose clinical condition deteriorated progressively. A TIPS was successfully placed with a rapid and complete resolution of ascites and marked improvement of his clinical condition. During the ensuing six months the patient remained in excellent conditions, but was lost from follow-up and resumed excessive alcohol intake. Eight months after TIPS placement he had an upper gastrointestinal bleeding and died. | |
| dc.format | text/html | |
| dc.language | es | |
| dc.publisher | Sociedad Médica de Santiago | |
| dc.relation | 10.4067/S0034-98871999001000011 | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.source | Revista médica de Chile v.127 n.10 1999 | |
| dc.subject | Ascitic Fluid | |
| dc.subject | Hepatic Encephalopathy | |
| dc.subject | Liver Cirrhosis | |
| dc.subject | Liver Circulation | |
| dc.subject | Portacanal Shunt | |
| dc.subject | Portal System | |
| dc.title | Tratamiento de la ascitis refractaria mediante derivación transyugular intrahepática portosistémica.: Caso clínico | |
